Imaging Findings of Gastric Diverticula

Introduction. Gastric diverticula (GD) are very rare. Computer tomographic findings in GD have been reported only as case reports previously. The aim of this study was to estimate the prevalence of GD on computed tomography (CT) and to analyze their radiological appearances. Materials and Methods. F...

Full description

Saved in:
Bibliographic Details
Main Authors: Dominik Schramm, Andreas Gunter Bach, Alexander Zipprich, Alexey Surov
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/923098
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832559008594001920
author Dominik Schramm
Andreas Gunter Bach
Alexander Zipprich
Alexey Surov
author_facet Dominik Schramm
Andreas Gunter Bach
Alexander Zipprich
Alexey Surov
author_sort Dominik Schramm
collection DOAJ
description Introduction. Gastric diverticula (GD) are very rare. Computer tomographic findings in GD have been reported only as case reports previously. The aim of this study was to estimate the prevalence of GD on computed tomography (CT) and to analyze their radiological appearances. Materials and Methods. From 2006 to 2013, a total of 14,428 patients were examined by abdominal/thoracic CT at our institution. GD were diagnosed in 18 (0.12%) patients (13 women and 5 men, median age, 64 years). In 9 patients, additional endoscopy and in 7 patients upper gastrointestinal investigation with contrast medium were performed. Magnetic resonance imaging (MRI) was available for 3 cases. Results. In all patients GD were diagnosed incidentally during CT examination. The diverticula were located at the posterior wall of the gastric fundus below the esophagogastric junction. On CT, GD presented as cystic lesions with a thin wall and an air fluid level, located behind the stomach between spleen, adrenal gland, and crus of the left diaphragm. Conclusion. The prevalence of GD encountered in our CT series is 0.12%. GD demonstrate typical CT appearances, namely, cystic lesions located in the left paravertebral region. The radiologist should be familiar with this finding to avoid possible misinterpretations.
format Article
id doaj-art-72d3a9d891d04705bbcec43bb7a068f3
institution Kabale University
issn 2356-6140
1537-744X
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series The Scientific World Journal
spelling doaj-art-72d3a9d891d04705bbcec43bb7a068f32025-02-03T01:31:02ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/923098923098Imaging Findings of Gastric DiverticulaDominik Schramm0Andreas Gunter Bach1Alexander Zipprich2Alexey Surov3Department of Radiology, Martin Luther University of Halle-Wittenberg, Ernst-Grube Straße 40, 06097 Halle, GermanyDepartment of Radiology, Martin Luther University of Halle-Wittenberg, Ernst-Grube Straße 40, 06097 Halle, GermanyDepartment of Gastroenterology, Martin Luther University of Halle-Wittenberg, Ernst-Grube Straße 40, 06097 Halle, GermanyDepartment of Radiology, Martin Luther University of Halle-Wittenberg, Ernst-Grube Straße 40, 06097 Halle, GermanyIntroduction. Gastric diverticula (GD) are very rare. Computer tomographic findings in GD have been reported only as case reports previously. The aim of this study was to estimate the prevalence of GD on computed tomography (CT) and to analyze their radiological appearances. Materials and Methods. From 2006 to 2013, a total of 14,428 patients were examined by abdominal/thoracic CT at our institution. GD were diagnosed in 18 (0.12%) patients (13 women and 5 men, median age, 64 years). In 9 patients, additional endoscopy and in 7 patients upper gastrointestinal investigation with contrast medium were performed. Magnetic resonance imaging (MRI) was available for 3 cases. Results. In all patients GD were diagnosed incidentally during CT examination. The diverticula were located at the posterior wall of the gastric fundus below the esophagogastric junction. On CT, GD presented as cystic lesions with a thin wall and an air fluid level, located behind the stomach between spleen, adrenal gland, and crus of the left diaphragm. Conclusion. The prevalence of GD encountered in our CT series is 0.12%. GD demonstrate typical CT appearances, namely, cystic lesions located in the left paravertebral region. The radiologist should be familiar with this finding to avoid possible misinterpretations.http://dx.doi.org/10.1155/2014/923098
spellingShingle Dominik Schramm
Andreas Gunter Bach
Alexander Zipprich
Alexey Surov
Imaging Findings of Gastric Diverticula
The Scientific World Journal
title Imaging Findings of Gastric Diverticula
title_full Imaging Findings of Gastric Diverticula
title_fullStr Imaging Findings of Gastric Diverticula
title_full_unstemmed Imaging Findings of Gastric Diverticula
title_short Imaging Findings of Gastric Diverticula
title_sort imaging findings of gastric diverticula
url http://dx.doi.org/10.1155/2014/923098
work_keys_str_mv AT dominikschramm imagingfindingsofgastricdiverticula
AT andreasgunterbach imagingfindingsofgastricdiverticula
AT alexanderzipprich imagingfindingsofgastricdiverticula
AT alexeysurov imagingfindingsofgastricdiverticula