EURORAD ESR

Case 2609

Relapsing pancreatitis caused by duodenal duplication in a young woman

Author(s)
Vagli P, Cappelli C, Cioni R, Boraschi P, Bartolozzi C
 
Patient
female, 20 year(s)
 
 
  • Figure 1
    Abdominal Ultrasound
     

    Pseudocystic abdominal lesion with hypoechoic content and multilayer wall.

     
    Area of Interest: unknown; Imaging Technique: Abdominal Ultrasound;

    Color Doppler demonstrated the hypervascular pattern of the lesion’s wall.

     
    Area of Interest: unknown; Imaging Technique: Abdominal Ultrasound;
     
     
  • Figure 2
    CT enhanced images
     

    A complete pancreas enlargement is shown associated with a mild pancreatic duct dilatation. No dilatation of the biliary tree is observed.

     
    Area of Interest: unknown; Imaging Technique: CT enhanced images;

    A unilocular pseudocystic lesion containing hypodense material. A mild compression determined by the lesion onto the second part of the duodenum is depicted.

     
    Area of Interest: unknown; Imaging Technique: CT enhanced images;

    The caudal portion of the lesion determining a duodenal protrusion. A multilayer enhancing wall is shown.

     
    Area of Interest: unknown; Imaging Technique: CT enhanced images;
     
     
  • Figure 3
    Multiplanar reformations
     

    The course of the distal portion of the Wirsung duct just proximal to the lesion but without apparent connections.

     
    Area of Interest: unknown; Imaging Technique: Multiplanar reformations;

    The spatial relationships of the pseudocystic lesion located between the duodenum and the pancreatic head are demonstrated.

     
    Area of Interest: unknown; Imaging Technique: Multiplanar reformations;
     
     
  • Figure 4
    MRI T2W image

    Coronal MR image excludes dilatation of the biliary tree and well depicts the distal course of the major pancreatic duct. MR appearance of the lesion confirmed a fluid particulate contain.

     
    Area of Interest: unknown; Imaging Technique: MRI T2W image;
     
     
  • Figure 5
    FDG PET scan

    Negative PET examination. No hyper-metabolic areas were detected.

     
    Area of Interest: unknown; Imaging Technique: FDG PET scan;
     
     
Pseudocystic abdominal lesion with hypoechoic content and multilayer wall.
 
Color Doppler demonstrated the hypervascular pattern of the lesion’s wall.
 
A complete pancreas enlargement is shown associated with a mild pancreatic duct dilatation. No dilatation of the biliary tree is observed.
 
A unilocular pseudocystic lesion containing hypodense material. A mild compression determined by the lesion onto the second part of the duodenum is depicted.
 
The caudal portion of the lesion determining a duodenal protrusion. A multilayer enhancing wall is shown.
 
The course of the distal portion of the Wirsung duct just proximal to the lesion but without apparent connections.
 
The spatial relationships of the pseudocystic lesion located between the duodenum and the pancreatic head are demonstrated.
 
Coronal MR image excludes dilatation of the biliary tree and well depicts the distal course of the major pancreatic duct. MR appearance of the lesion confirmed a fluid particulate contain.
 
Negative PET examination. No hyper-metabolic areas were detected.
 
 
 
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