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British Journal of Radiology (2005) 78, 562-564
© 2005 British Institute of Radiology
doi: 10.1259/bjr/52543195
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Duodenal diverticulum mimicking a cystic pancreatic neoplasm

A Hariri, BSc1, S S Siegelman, MD1 and R H Hruban, MD2

Departments of 1 Radiology and 2 Pathology, The Johns Hopkins Hospital, Baltimore, Maryland, USA



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  		Figure 1. Duodenal diverticulum embedded in pancreatic head of a 77-year-old woman. Axial enhanced CT scan of abdomen shows a multiloculated cystic mass within the head of the pancreas, measuring 4.1 cm by 3.1 cm. The lesion is thin-walled, does not fill with oral contrast medium, and contains no gaseous densities.

 


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  		Figure 2. Gross pathology of the lesion demonstrating: (a) duodenal diverticulum embedded in the head of the pancreas; (b) diverticular orifice, which possesses a very small diameter relative to the diverticulum; (c) duodenum with multiple additional diverticulae.

 




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