Case Report. CT and Ultrasound of Gastric and Duodenal Duplications
- 1 May 1996
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Computer Assisted Tomography
- Vol. 20 (3), 382-385
- https://doi.org/10.1097/00004728-199605000-00010
Abstract
We present the radiological findings of gastric and duodenal duplications in four adults, in whom abdominal ultrasound, endoscopic ultrasound (EUS), and CT were primarily used for diagnosis. The diagnosis was surgically confirmed in all cases. Preoperative diagnosis of duplications was possible with ultrasound in three patients, in whom CT showed a nonspecific cystic structure. Ultrasound demonstrated a pathognomonic multilayered wall appearance suggestive of a digestive origin, including an echogenic inner mucosal layer and a hypoechoic muscular layer, better appreciated using EUS in one patient. In one case, digestive origin was confirmed by direct visualization of a peristaltic activity within the cystic wall after water ingestion. In the last patient, a non-specific heterogeneous mainly solid mass of the esophagogastric junction was found to be an adenocarcinoma arising from a duplication on the histological analysis of the surgical specimen.Keywords
This publication has 9 references indexed in Scilit:
- Peristalsis in duplication cyst: A new diagnostic sonographic findingPediatric Radiology, 1994
- Gastrointestinal tract duplications: clinical, pathologic, etiologic, and radiologic considerations.RadioGraphics, 1993
- Enteric duplication cysts in children: Are their ultrasonographic wall characteristics diagnostic?Pediatric Radiology, 1990
- Duodenal duplication cyst with enteroliths: Computed tomography and ultrasound diagnosisAbdominal Radiology, 1989
- Pediatric radiology case of the day. Duodenal duplicationAmerican Journal of Roentgenology, 1989
- Duodenal duplication in the adult: Its relationship with pancreatitisAbdominal Radiology, 1988
- Computed Tomography and Ultrasonography of Carcinoma in Duplication CystsJournal of Computer Assisted Tomography, 1986
- Intra-uterine demonstration of bowel duplication by ultrasoundEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 1984
- Ultrasonic Evaluation of Abdominal Gastrointestinal Tract Duplication in ChildrenRadiology, 1979