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Duodenal Diverticulum
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        TERMINOLOGY

        • Definitions

          • Pouch or sac opening from duodenum

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Nassar S et al: Intraluminal duodenal diverticulum: a rare cause of chronic epigastric pain. Surg J (N Y). 6(2):e125-e7, 2020
                                    2. Pendergrast TE et al: The "windsock" sign. Abdom Radiol (NY). 43(3):751-2, 2018
                                    3. Barat M et al: Mass-forming lesions of the duodenum: a pictorial review. Diagn Interv Imaging. 98(10):663-75, 2017
                                    4. Namikawa T et al: Juxtapapillary duodenal diverticulum impacted with enterolith. J Gastrointest Surg. 21(5):920-2, 2017
                                    5. Katsinelos P et al: Impact of periampullary diverticula on the outcome and fluoroscopy time in endoscopic retrograde cholangiopancreatography. Hepatobiliary Pancreat Dis Int. 12(4):408-14, 2013
                                    6. Kim KH et al: Endoscopic papillary large balloon dilation in patients with periampullary diverticula. World J Gastroenterol. 19(41):7168-76, 2013
                                    7. Aftab AR et al: The clinical significance of juxtapapillary duodenal diverticula identified at ERCP. Gastrointest Endosc. 69(6):1197, 2009
                                    8. Ames JT et al: Perforated duodenal diverticulum: clinical and imaging findings in eight patients. Abdom Imaging. 34(2):135-9, 2009
                                    9. Park H et al: Perforated duodenal diverticulitis caused by retained common bile duct stone in the diverticulum. Am J Gastroenterol. 104(1):248-9, 2009
                                    10. Clemente G et al: Intramural duodenal diverticulum mimicking a periampullary neoplasm. Am J Surg. 196(4):e31-2, 2008
                                    11. Lawler LP et al: Multidetector row computed tomography and volume rendering of an adult duodenal intraluminal "wind sock" diverticulum. J Comput Assist Tomogr. 27(4):619-21, 2003
                                    12. Macari M et al: Duodenal diverticula mimicking cystic neoplasms of the pancreas: CT and MR imaging findings in seven patients. AJR Am J Roentgenol. 180(1):195-9, 2003
                                    13. Afridi SA et al: Review of duodenal diverticula. Am J Gastroenterol. 86(8):935-8, 1991
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Definitions

                                            • Pouch or sac opening from duodenum

                                          IMAGING

                                          • General Features

                                            • Radiographic Findings

                                              • CT Findings

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Nassar S et al: Intraluminal duodenal diverticulum: a rare cause of chronic epigastric pain. Surg J (N Y). 6(2):e125-e7, 2020
                                                                      2. Pendergrast TE et al: The "windsock" sign. Abdom Radiol (NY). 43(3):751-2, 2018
                                                                      3. Barat M et al: Mass-forming lesions of the duodenum: a pictorial review. Diagn Interv Imaging. 98(10):663-75, 2017
                                                                      4. Namikawa T et al: Juxtapapillary duodenal diverticulum impacted with enterolith. J Gastrointest Surg. 21(5):920-2, 2017
                                                                      5. Katsinelos P et al: Impact of periampullary diverticula on the outcome and fluoroscopy time in endoscopic retrograde cholangiopancreatography. Hepatobiliary Pancreat Dis Int. 12(4):408-14, 2013
                                                                      6. Kim KH et al: Endoscopic papillary large balloon dilation in patients with periampullary diverticula. World J Gastroenterol. 19(41):7168-76, 2013
                                                                      7. Aftab AR et al: The clinical significance of juxtapapillary duodenal diverticula identified at ERCP. Gastrointest Endosc. 69(6):1197, 2009
                                                                      8. Ames JT et al: Perforated duodenal diverticulum: clinical and imaging findings in eight patients. Abdom Imaging. 34(2):135-9, 2009
                                                                      9. Park H et al: Perforated duodenal diverticulitis caused by retained common bile duct stone in the diverticulum. Am J Gastroenterol. 104(1):248-9, 2009
                                                                      10. Clemente G et al: Intramural duodenal diverticulum mimicking a periampullary neoplasm. Am J Surg. 196(4):e31-2, 2008
                                                                      11. Lawler LP et al: Multidetector row computed tomography and volume rendering of an adult duodenal intraluminal "wind sock" diverticulum. J Comput Assist Tomogr. 27(4):619-21, 2003
                                                                      12. Macari M et al: Duodenal diverticula mimicking cystic neoplasms of the pancreas: CT and MR imaging findings in seven patients. AJR Am J Roentgenol. 180(1):195-9, 2003
                                                                      13. Afridi SA et al: Review of duodenal diverticula. Am J Gastroenterol. 86(8):935-8, 1991