A 34-year-old woman presented with epigastric pain, nausea, and dyspepsia. Contrastenhanced computerized tomography revealed a small mass in the duodenal wall mimicking a periampullary neoplasm and, at endoscopic examination, a periampullary submucosal tumor was suspected. The diagnosis of intramural duodenal diverticulum (IDD) was made by an x-ray barium meal that showed a finger-like sac filled with barium, the so-called “windsock sign.” IDD is a rare congenital abnormality caused by an anomalous process of recanalization of the primitive foregut. The intermittent filling and emptying of the IDD is responsible for epigastric pain, nausea, and vomiting. When IDD is symptomatic, surgical or endoscopic treatment is recommended.

Clemente, G., Sarno, G., Giordano, M., De Rose, A. M., Nuzzo, G., Intramural duodenal diverticulum mimicking a periampullary neoplasm, <<THE AMERICAN JOURNAL OF SURGERY>>, 2008; 196 (4): 31-32. [doi:10.1016/j.amjsurg.2007.10.028] [http://hdl.handle.net/10807/14542]

Intramural duodenal diverticulum mimicking a periampullary neoplasm

Clemente, Gennaro;Sarno, Gerardo;Giordano, Marco;De Rose, Agostino Maria;Nuzzo, Gennaro
2008

Abstract

A 34-year-old woman presented with epigastric pain, nausea, and dyspepsia. Contrastenhanced computerized tomography revealed a small mass in the duodenal wall mimicking a periampullary neoplasm and, at endoscopic examination, a periampullary submucosal tumor was suspected. The diagnosis of intramural duodenal diverticulum (IDD) was made by an x-ray barium meal that showed a finger-like sac filled with barium, the so-called “windsock sign.” IDD is a rare congenital abnormality caused by an anomalous process of recanalization of the primitive foregut. The intermittent filling and emptying of the IDD is responsible for epigastric pain, nausea, and vomiting. When IDD is symptomatic, surgical or endoscopic treatment is recommended.
Inglese
Clemente, G., Sarno, G., Giordano, M., De Rose, A. M., Nuzzo, G., Intramural duodenal diverticulum mimicking a periampullary neoplasm, <<THE AMERICAN JOURNAL OF SURGERY>>, 2008; 196 (4): 31-32. [doi:10.1016/j.amjsurg.2007.10.028] [http://hdl.handle.net/10807/14542]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/14542
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