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Compression, Extrinsic, Stomach and Duodenum

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Encyclopedia of Diagnostic Imaging

Synonyms

Contour wall alteration; Notches; Wall displacement

Definition

Extrinsic compression of the stomach and duodenum is a morphologic alteration of the gastric and duodenal contour related to a neighboring space‐occupying lesion.

Pathology/Histopathology

Pathology depends on the cause of the compression. The most frequent etiologic factors in gastric compression are liver and spleen enlargement, pancreatic pathology (tumors, cysts, and pancreatitis), gallbladder alterations, retroperitoneal lymphadenopathies, renal masses, and collections in the lesser sac.

In duodenal compression, the main causes include hepatomegaly, gallbladder enlargement, coledocal compressions, right renal and adrenal masses, periportal adenopathies, and hepatic angle and transverse colon alterations ( 1).

According to the histological characteristics, compressions can be classified as congenital (duplication cysts of the stomach or duodenum), inflammatory (acute and chronic pancreatitis, Morrison pouch...

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Bibliography

  1. Martín ES, Pedrosa CS (2000) El tubo digestivo: semiología radiológica. In: Pedrosa CS, Casanova R (eds) Diagnóstico Por Imagen. Tratado de Radiología Clínica. McGraw‐Hill‐Interamericana de España, Madrid, pp 335–378

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  3. Kumar R, Tripathi M, Chandrashekar N et al (2005) Diagnosis of ectopic gastric mucosa using 99Tcm‐pertechnetate: spectrum of scintigraphic findings. Br J Radiol 78(932):714–720

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© 2008 Springer-Verlag Berlin Heidelberg New York

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Mendoza, L.H.R., Alonso, C.G., Subirán, M.E.G. (2008). Compression, Extrinsic, Stomach and Duodenum. In: Baert, A.L. (eds) Encyclopedia of Diagnostic Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-35280-8_548

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  • DOI: https://doi.org/10.1007/978-3-540-35280-8_548

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-35278-5

  • Online ISBN: 978-3-540-35280-8

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