Value of MRCP using oral Gd-DTPA as negative contrast materials in diagnosis of atypical juxtapapillary duodenal diverticulum |
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Authors: | Jingshan Gong Hong Zhao Te Liu Rennan Ling Jianmin Xu |
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Affiliation: | aDepartment of Radiology, Shenzhen People's Hospital, Second Clinical College, Jinan University, Shenzhen, 518020 Guangdong Province, P.R. China;bDepartment of Radiology, Fifth Affiliated Hospital, Zhongshan University, Zhuhai 519000, Guangdong Province, P.R. China |
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Abstract: | ObjectiveTo investigate value of magnetic resonance cholangiopancreatography (MRCP) using oral diluted gadolinium (Gd)-diethylenetriamine penta-acetic acid (DTPA) as negative contrast materials in diagnosis of juxtapapillary duodenal diverticulum with atypical imaging features.MethodsNineteen patients with juxtapapillary duodenal diverticula of which imaging findings were atypical underwent MRCP using oral diluted Gd-DTPA as negative contrast materials after conventional MRCP without any oral contrast materials.ResultsTwenty diverticula were revealed in the 19 patients. At conventional MRCP, the diverticula appeared as rounded lesion with high signal intensity. After oral administration of diluted Gd-DTPA, they disappeared at MRCP. These entities were diagnosed as duodenal diverticula for they communicate with duodenal lumen.ConclusionMRCP using oral Gd-DTPA as negative contrast materials can be helpful in obtaining definitive diagnosis of those juxtapapillary duodenal diverticula without typical imaging features. |
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Keywords: | Duodenal diverticulum MR imaging MR cholangiopancreatography Gadolinium-DTPA Oral negative contrast agent |
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