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MRI Findings of Intrinsic and Extrinsic Duodenal Abnormalities and Variations.

Dusunceli Atman E, Erden A, Ustuner E, Uzun C, Bektas M - Korean J Radiol (2015)

Bottom Line: This pictorial review aims to illustrate the magnetic resonance imaging (MRI) findings and presentation patterns of anatomical variations and various benign and malignant pathologies of the duodenum, including sphincter contraction, major papilla variation, prominent papilla, diverticulum, annular pancreas, duplication cysts, choledochocele, duodenal wall thickening secondary to acute pancreatitis, postbulbar stenosis, celiac disease, fistula, choledochoduodenostomy, external compression, polyps, Peutz-Jeghers syndrome, ampullary carcinoma and adenocarcinoma.MRI is a useful imaging tool for demonstrating duodenal pathology and its anatomic relationships with adjacent organs, which is critical for establishing correct diagnosis and planning appropriate treatment, especially for surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Ankara University School of Medicine, Ankara 06100, Turkey.

ABSTRACT
This pictorial review aims to illustrate the magnetic resonance imaging (MRI) findings and presentation patterns of anatomical variations and various benign and malignant pathologies of the duodenum, including sphincter contraction, major papilla variation, prominent papilla, diverticulum, annular pancreas, duplication cysts, choledochocele, duodenal wall thickening secondary to acute pancreatitis, postbulbar stenosis, celiac disease, fistula, choledochoduodenostomy, external compression, polyps, Peutz-Jeghers syndrome, ampullary carcinoma and adenocarcinoma. MRI is a useful imaging tool for demonstrating duodenal pathology and its anatomic relationships with adjacent organs, which is critical for establishing correct diagnosis and planning appropriate treatment, especially for surgery.

No MeSH data available.


Related in: MedlinePlus

Duodenal involvement of celiac disease.In this 32-year-old male patient with celiac disease, on coronal fast imaging employing steady-state acquisition MR image, mucosal folds of 2nd portion of duodenum appear indistinct and obscured (arrow). Among duodenal findings of celiac disease, decrease in number of mucosal folds, focal mucosal erosions, mural asymmetry, diffuse and nodular thickening of mucosal folds can be mentioned. Risk of adenocarcinoma and lymphoma increases in celiac patients, and MRI can be used for early diagnosis.
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Figure 14: Duodenal involvement of celiac disease.In this 32-year-old male patient with celiac disease, on coronal fast imaging employing steady-state acquisition MR image, mucosal folds of 2nd portion of duodenum appear indistinct and obscured (arrow). Among duodenal findings of celiac disease, decrease in number of mucosal folds, focal mucosal erosions, mural asymmetry, diffuse and nodular thickening of mucosal folds can be mentioned. Risk of adenocarcinoma and lymphoma increases in celiac patients, and MRI can be used for early diagnosis.

Mentions: Indistinct fold (decrease in mucosal folds) is one of the imaging findings of duodenal involvement of celiac disease (6). Moreover, focal mucosal erosions, mural asymmetry, diffuse or nodular thickening in mucosal folds, mild luminal dilatation, stricture, and intramural fat storage are also reported (Fig. 14) (6).


MRI Findings of Intrinsic and Extrinsic Duodenal Abnormalities and Variations.

Dusunceli Atman E, Erden A, Ustuner E, Uzun C, Bektas M - Korean J Radiol (2015)

Duodenal involvement of celiac disease.In this 32-year-old male patient with celiac disease, on coronal fast imaging employing steady-state acquisition MR image, mucosal folds of 2nd portion of duodenum appear indistinct and obscured (arrow). Among duodenal findings of celiac disease, decrease in number of mucosal folds, focal mucosal erosions, mural asymmetry, diffuse and nodular thickening of mucosal folds can be mentioned. Risk of adenocarcinoma and lymphoma increases in celiac patients, and MRI can be used for early diagnosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644744&req=5

Figure 14: Duodenal involvement of celiac disease.In this 32-year-old male patient with celiac disease, on coronal fast imaging employing steady-state acquisition MR image, mucosal folds of 2nd portion of duodenum appear indistinct and obscured (arrow). Among duodenal findings of celiac disease, decrease in number of mucosal folds, focal mucosal erosions, mural asymmetry, diffuse and nodular thickening of mucosal folds can be mentioned. Risk of adenocarcinoma and lymphoma increases in celiac patients, and MRI can be used for early diagnosis.
Mentions: Indistinct fold (decrease in mucosal folds) is one of the imaging findings of duodenal involvement of celiac disease (6). Moreover, focal mucosal erosions, mural asymmetry, diffuse or nodular thickening in mucosal folds, mild luminal dilatation, stricture, and intramural fat storage are also reported (Fig. 14) (6).

Bottom Line: This pictorial review aims to illustrate the magnetic resonance imaging (MRI) findings and presentation patterns of anatomical variations and various benign and malignant pathologies of the duodenum, including sphincter contraction, major papilla variation, prominent papilla, diverticulum, annular pancreas, duplication cysts, choledochocele, duodenal wall thickening secondary to acute pancreatitis, postbulbar stenosis, celiac disease, fistula, choledochoduodenostomy, external compression, polyps, Peutz-Jeghers syndrome, ampullary carcinoma and adenocarcinoma.MRI is a useful imaging tool for demonstrating duodenal pathology and its anatomic relationships with adjacent organs, which is critical for establishing correct diagnosis and planning appropriate treatment, especially for surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Ankara University School of Medicine, Ankara 06100, Turkey.

ABSTRACT
This pictorial review aims to illustrate the magnetic resonance imaging (MRI) findings and presentation patterns of anatomical variations and various benign and malignant pathologies of the duodenum, including sphincter contraction, major papilla variation, prominent papilla, diverticulum, annular pancreas, duplication cysts, choledochocele, duodenal wall thickening secondary to acute pancreatitis, postbulbar stenosis, celiac disease, fistula, choledochoduodenostomy, external compression, polyps, Peutz-Jeghers syndrome, ampullary carcinoma and adenocarcinoma. MRI is a useful imaging tool for demonstrating duodenal pathology and its anatomic relationships with adjacent organs, which is critical for establishing correct diagnosis and planning appropriate treatment, especially for surgery.

No MeSH data available.


Related in: MedlinePlus