2021, Number 2
A clinical case of a gastric fundus diverticulum
Language: Spanish
References: 10
Page: 363-372
PDF size: 501.00 Kb.
ABSTRACT
Gastric diverticula are saccular dilations that protrude from the gastric wall. We present a 63-year-old female patient in whom a nodular image was discovered in the projection of the left adrenal gland on a simple abdominal computed tomography scan. Diagnosis of a gastric fundus diverticulum was confirmed using oral contrast in this tomography and barium contrast in fluoroscopic studies. The lesion was asymptomatic and did not exceed the recommended size to advise its resection. Congenital or true diverticula of the stomach are an important differential diagnosis, especially with nodular lesions of the left adrenal gland, for which contrast imaging studies are required. Oral contrast-enhanced computed tomography is a very useful tool in the diagnosis of gastric fundus diverticula simulating an adrenal mass.REFERENCES
Zuluaga SA, Ochoa GJ, Bustamante ZS, Gutiérrez MC, Zuluaga MN. Upper gastrointestinal tract diverticulum and pseudodiverticulosis: Multidetector Computed Tomography (mdct) findings: case series. Rev Colomb Radiol [internet]. 2015 [citado 5 oct. 2020];26(1):[aprox. 6 p.]. 4139-44. Disponible en: https://www.webcir.org/revistavirtual/articulos/2015/junio/colombia/diverticulos_ing.pdf
Baum JA, Ching Companioni RA. Enfermedad diverticular del estómago y el intestino delgado [internet]. Kenilworth: Manual; mar. 2019 [citado 10 oct. 2020]. Disponible en: https://www.msdmanuals.com/es/professional/trastornos-gastrointestinales/enfermedad-diverticular/enfermedad-diverticular-del-estómago-y-el-intestino delgado
Whittle PC, Schiappacasse FG, Leal ME, Franz GG, Hasson AD, Maldonado SI, et al. Imágenes en divertículos del tubo digestivo: Localizaciones infrecuentes. Serie de casos. Rev Chil Radiol [internet]. jul. 2018 [citado 5 oct. 2020];24(2):[aprox. 12 p.]. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-93082018000200067&lng=es