Differential Diagnosis for Stranding around the Duodenum
- Single most likely diagnosis
- Pancreatitis: This is the most likely diagnosis due to the proximity of the duodenum to the pancreas. Stranding around the duodenum can be a sign of inflammation or edema in the surrounding tissues, which is consistent with pancreatitis.
- Other Likely diagnoses
- Duodenal ulcer disease: Stranding around the duodenum can also be a sign of inflammation or scarring from a duodenal ulcer.
- Cholecystitis: Inflammation of the gallbladder can cause stranding in the surrounding tissues, including around the duodenum.
- Perforated viscus: A perforation in the duodenum or nearby structures can cause inflammation and stranding in the surrounding tissues.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Mesenteric ischemia: This is a life-threatening condition that requires prompt diagnosis and treatment. Stranding around the duodenum can be a sign of ischemia or infarction in the mesenteric vessels.
- Retroperitoneal hemorrhage: Bleeding in the retroperitoneal space can cause stranding around the duodenum and is a medical emergency.
- Rare diagnoses
- Duodenal lymphoma: A rare tumor that can cause stranding around the duodenum due to inflammation or tumor infiltration.
- Retroperitoneal fibrosis: A rare condition characterized by fibrosis and inflammation in the retroperitoneal space, which can cause stranding around the duodenum.
- Sarcoidosis: A systemic disease that can cause granulomatous inflammation in various organs, including the duodenum, leading to stranding.