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[Gastric diverticulum mimicking adrenal mass. X-ray computed tomographic aspect]
B Chaulin1, B Damoo, C Verdeil
1Service de Radiologie, USN Hôpital du Haut-Levêque, CHU de Bordeaux, Pessac.
Journal De Radiologie
|June 1, 1992
Summary
Gastric diverticulum can mimic left adrenal metastasis in imaging. Proper gastrointestinal tract opacification and prone positioning help prevent misdiagnosis during lung cancer staging.
Area of Science:
- Radiology
- Gastroenterology
- Oncology
Background:
- Accurate staging of lung cancer is crucial for treatment planning.
- Adrenal gland imaging is a common component of lung cancer staging.
- Gastric diverticula are rare outpouchings of the stomach wall.
Observation:
- A case is presented where a gastric diverticulum mimicked a left adrenal metastasis on imaging.
- This finding highlights a potential diagnostic challenge in radiology.
Findings:
- Gastric diverticulum can present as a focal lesion in the left adrenal region.
- Distinguishing gastric diverticulum from adrenal metastasis requires careful radiological assessment.
Implications:
- Prior opacification of the gastrointestinal tract is recommended to differentiate gastric diverticulum from adrenal lesions.
- Imaging in the prone position may aid in distinguishing these entities.
- Avoiding unnecessary biopsies or invasive procedures for staging lung cancer is essential.