Duodenal Flexure Pseudotumor

 At angle between bulb and descending duodenum


image Acute angulation as duodenum becomes retroperitoneal, accentuates fold


• May even simulate ulcerated mass, with barium trapped between mucosal folds

• Changeable appearance on upper GI fluoroscopy
image May disappear on upright or left decubitus positioning, or with compression

image Normal peristalsis

• Can simulate polypoid mass on CT as well
image CT has disadvantage of not allowing real-time evaluation of changes with peristalsis or different positions

image Pseudolesion has same imaging characteristics (enhancement) as remainder of duodenal mucosa

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Nov 16, 2016 | Posted by in GASTROINTESTINAL IMAGING | Comments Off on Duodenal Flexure Pseudotumor

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