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2026, Number P5

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Acta Med 2026; 24 (P5)

Gastric diverticulum mimicking adrenal mass: case report and comparative imaging review

García SAJ, Hernández JR, Mosquera RMA, Perochena GA, Gómez PMG
Full text How to cite this article

Language: Spanish
References: 5
Page: 623-625
PDF size: 1094.43 Kb.


Key words:

gastric diverticulum, gastric fundus, computed tomography, magnetic resonance imaging, adrenal mass, case report.

ABSTRACT

Gastric diverticulum is a rare anomaly of the gastrointestinal tract, usually asymptomatic and incidentally detected. We report the case of a 48-year-old female with epigastric pain and a saclike lesion in the gastric fundus, initially suggestive of an adrenal mass. Computed tomography revealed a lesion containing air and fluid, and magnetic resonance imaging confirmed its communication with the gastric lumen, without signs of malignancy. Conservative management was successful. This case highlights the value of multimodal imaging evaluation for accurate diagnosis and to avoid unnecessary procedures.


REFERENCES

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  2. Feng YE, Zhang Z. Gastric diverticulum simulating a left adrenal mass:a case report and review of the literature. Oncol Lett. 2015; 10 (4):2477-2480. doi: 10.3892/ol.2015.3559.

  3. Morris PD, Allaway MGR, Mwagiru DK, Sinclair JB, HollandsM. Gastric diverticulum: a contemporary review and update inmanagement. ANZ J Surg. 2023; 93 (12): 2828-2832. doi: 10.1111/ans.18707.

  4. Maccioni F, Busato L, Valenti A, Cardaccio S, Longhi A, Catalano C.Magnetic resonance imaging of the gastrointestinal tract: current role,recent advancements and future prospectives. Diagnostics (Basel).2023; 13 (14): 2410. doi: 10.3390/diagnostics13142410.

  5. Hu J, Yin CG, Hu KF, Li GW. The magnetic resonance enterographyimaging features of symptomatic Meckel’s diverticulum in pediatricpatients: a retrospective observational study of 31 cases. Transl Pediatr.2021; 10 (8): 1974-1988. doi: 10.21037/tp-20-419.




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Acta Med. 2026;24