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Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
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Juxtapapillary diverticulum: findings on MRI

N Cem Balci1, Tara Noone, Elif Akün

  • 1Department of Radiology, Florence Nightingale Hospital, Istanbul, Turkey. nc.balci@mailexcite.com

Journal of Magnetic Resonance Imaging : JMRI
|March 26, 2003
PubMed

Insights

Magnetic resonance imaging (MRI) effectively visualizes juxtapapillary diverticula. Specific MRI sequences, including HASTE and True FISP, along with oral contrast, aid in detecting these small outpouchings near the papilla.

Area of Science:

  • Gastroenterology
  • Radiology
  • Medical Imaging

Background:

  • Juxtapapillary diverticula are outpouchings near the papilla of Vater.
  • Accurate imaging is crucial for diagnosis and management.

Purpose of the Study:

  • To characterize the imaging findings of juxtapapillary diverticula using magnetic resonance imaging (MRI).
  • To evaluate the utility of various MRI sequences and techniques for visualizing these lesions.

Main Methods:

  • Retrospective analysis of MRI and MRCP examinations in 14 patients with diagnosed juxtapapillary diverticula.
  • Utilized T1-weighted spoiled gradient-echo, T2-weighted HASTE, T2-weighted True FISP, and thin-slice MRCP sequences.
  • Oral contrast (diluted gadolinium DPTA) was administered in some cases.

Main Results:

  • T2-weighted True FISP and HASTE sequences clearly showed air-fluid levels in all diverticula.
  • T1-weighted images with oral contrast enhanced the detection of smaller diverticula.
  • Coronal MRCP images best illustrated the diverticula's relationship to the papilla.

Conclusions:

  • MRI, employing HASTE, True FISP, and oral contrast-enhanced T1-weighted sequences, is effective in depicting juxtapapillary diverticula.
  • This imaging approach aids in the diagnosis and anatomical assessment of these diverticula.

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