Fig. 22
From: Imaging of non-neoplastic duodenal diseases. A pictorial review with emphasis on MDCT
Intramural duodenal hematoma in a 28-year-old man with a history of cocaine abuse. a Unenhanced CT shows a spontaneous hyperdense thickening of the duodenal wall (arrow). b Axial contrast-enhanced CT shows a heterogeneous and intramural duodenal masslike appearance (arrow). c Detail of the endoscopic study in the initial diagnostic. d Reformatted coronal contrast-enhanced CT image of the same patient a few days before show a predominant hypodense expansive masslike appearance (arrow) causing a mass effect of the duodenal lumen with gastric dilation