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Case of the Week 471



What is the most likely diagnosis?

  • 73 year-old male with heartburn



Double Contrast Upper GI Examination of the Duodenum

  1. Giant Duodenal Ulcer
  2. Crohn Disease
  3. Dudeoneal Diverticulum
  4. Paraduodenal Hernia
  5. Lymphoma

Additional Images - None

 

Additional Images

 

 

None


Answer:

 

3. Duodenal Diverticulum

 

More (Click Discussion Tab)

 

 

Duodenal Diverticulum

General Considerations

  • Relatively common (up to 6% of upper GI examinations) in adults
  • Usually arise in 2nd portion of the duodenum (85%) within 1-2 cm of the ampulla of Vater
  • Like almost all GI diverticula, they are false diverticula with herniation of the mucosa and submucosa through the muscular layer

MORE . . .

 


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73 year-old male with heartburn
 
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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.