Giant duodenal diverticulum masquerading as a sealed perforation

Autor: Faraaz Khan, Madhurima R Chetan, Horace D'Costa
Rok vydání: 2022
Předmět:
Zdroj: BJR|case reports. 8
ISSN: 2055-7159
DOI: 10.1259/bjrcr.20210196
Popis: Giant duodenal diverticula are large outpouchings involving all layers of the duodenal wall. Whilst often an incidental finding, giant duodenal diverticula can present with diverticulitis or biliary obstruction. We report a case of a giant duodenal diverticulum that was initially misdiagnosed as a localised duodenal perforation on CT. Additional ultrasound and fluoroscopic imaging demonstrated the final diagnosis of acute cholecystitis. The clinical course of this patient highlights the challenge of recognising a giant duodenal diverticulum and the limitations of solely relying on CT in the context of an acute abdominal presentation.
Databáze: OpenAIRE