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[Trust, but verify].

Evi Comploj1, Federica Ferro2, Carolina D'Elia1

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Summary
This summary is machine-generated.

A gastric diverticulum was misdiagnosed as a left adrenal lesion in a 39-year-old woman. This case highlights the importance of considering rare diagnoses in abdominal imaging interpretation.

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Area of Science:

  • Gastroenterology
  • Radiology
  • Endocrinology

Background:

  • Gastric diverticula are rare outpouchings of the stomach wall.
  • Adrenal lesions can present as incidental findings on imaging.
  • Accurate diagnosis is crucial for appropriate patient management.

Observation:

  • A 39-year-old woman presented with symptoms leading to computed tomography (CT) imaging.
  • CT scans revealed a lesion initially interpreted as a left adrenal mass.
  • Further investigation identified the lesion as a gastric diverticulum.

Findings:

  • Misinterpretation of a gastric diverticulum as an adrenal lesion can occur.
  • CT imaging characteristics can sometimes be misleading for gastric diverticula.
  • Definitive diagnosis required further evaluation beyond initial CT interpretation.

Implications:

  • Radiologists and clinicians should consider gastric diverticula in the differential diagnosis of upper abdominal lesions.
  • Advanced imaging techniques or endoscopic evaluation may be necessary for accurate diagnosis.
  • Awareness of this diagnostic pitfall can prevent unnecessary adrenal investigations and guide appropriate gastrointestinal workup.