Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey.
Department of Radiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey.
Curr Med Imaging. 2022;18(3):346-352. doi: 10.2174/1573405617666211126153042.
Diverticula are commonly observed in the duodenum. Duodenal Diverticulum (DD) usually does not give symptoms throughout life and is diagnosed by coincidence. However, it may present with different symptoms in patients.
This study aims to evaluate the prevalence of DD and Juxtapapillary Duodenal Diverticulum (JDD) and its association with other possible pathologies and to determine its clinical impact by using Computed Tomography (CT).
This retrospective observational study, which was taken consecutively between the years of 2013-2020, was evaluated in the Radiology Department. The total number of cases was 4850 (male-2440; female-2410). CT images were evaluated by two experienced radiologists at the workstation. DD and JDD prevalence and clinical findings in the hospital registry system were examined.
The age of the patients included in the study ranged from 17 to 92 years (mean age 46.94±16.42). In patients with DD (female-130; male-101), mean age was 62.24 ± 12.69 (21-92). The prevalence of DD was 4.76% (n=231). The prevalence of JDD was 4.02% (n=195) and increased with age (p<0.01). The average diameter of the JDD was measured as 23.29±8.22 (9.5-55.3) mm. A significant positive correlation was found between age and DD diameter (p=0.039). DDs were found most commonly 84.42% (n=195) in the second segment of the duodenum as JDD. In patients with JDD, the mean diameter of choledochus and wirsung canal were 6.7 ± 2.4 (3-15.3) mm and 0.31 ± 0.1 (0.1-6.5) mm respectively. The choledochal diameter was correlated with the JDD size (p = 0.004). Cholelithiasis (n=56), choledocholithiasis (n=20), cholecystitis (n=52), diverticulitis (n=15), duodenitis (n=37), pancreatitis (n=5) and hiatal hernia (n=60) with JDD were observed. Periampullary carcinoma was detected in one patient.
Our study shows that cholelithiasis, choledocholithiasis, cholecystitis, diverticulitis, duodenitis, pancreatitis may be associated with JDD. Therefore, in contrast-enhanced abdominal CT scans taken for various reasons, investigation of the presence and characteristics of JDD and detection of pathologies that may be associated with JDD are important for patients to benefit from early diagnosis and treatment opportunities and to take precautions against possible complications.
憩室在十二指肠中很常见。十二指肠憩室（DD）通常在一生中不会出现症状，而是通过偶然诊断出来的。然而，它可能会在患者中表现出不同的症状。
本研究旨在评估 DD 和近壶腹十二指肠憩室（JDD）的患病率及其与其他可能的病理的关系，并通过使用计算机断层扫描（CT）确定其临床影响。
这是一项回顾性观察性研究，于 2013 年至 2020 年期间在放射科进行，总病例数为 4850 例（男性 2440 例，女性 2410 例）。两名经验丰富的放射科医生在工作站上评估 CT 图像。在医院注册表系统中检查 DD 和 JDD 的患病率和临床发现。
本研究中患者的年龄范围为 17 至 92 岁（平均年龄 46.94±16.42）。在患有 DD（女性 130 例，男性 101 例）的患者中，平均年龄为 62.24±12.69（21-92）。DD 的患病率为 4.76%（n=231）。JDD 的患病率为 4.02%（n=195），并随年龄增长而增加（p<0.01）。JDD 的平均直径为 23.29±8.22（9.5-55.3）mm。年龄与 DD 直径之间存在显著正相关（p=0.039）。DD 最常见于十二指肠的第二段，84.42%（n=195）为 JDD。在患有 JDD 的患者中，胆总管和胰管的平均直径分别为 6.7±2.4（3-15.3）mm 和 0.31±0.1（0.1-6.5）mm。胆总管直径与 JDD 大小相关（p=0.004）。JDD 与胆石症（n=56）、胆总管结石（n=20）、胆囊炎（n=52）、憩室炎（n=15）、十二指肠炎（n=37）、胰腺炎（n=5）和食管裂孔疝（n=60）有关。发现一例壶腹周围癌。
我们的研究表明，胆石症、胆总管结石、胆囊炎、憩室炎、十二指肠炎、胰腺炎可能与 JDD 有关。因此，在因各种原因进行增强腹部 CT 扫描时，重要的是要检查 JDD 的存在和特征，并检测可能与 JDD 相关的病变，以便患者能够受益于早期诊断和治疗机会，并预防可能的并发症。
