Indication:
Duodenal wall mass post gastroscopy and biopsy. ? Haematoma, ? Duodenal wall tumour
Findings:
Precontrast:
Predominantly anechoic ovoid region intimately related to second part of duodenum measuring 8 x 4 x 4 cm cyst. It contains some areas of internal echoes some of which are septated.
Postcontrast:
3 acquisitions with IV Definity.
There is a planar contrast enhancement within the duodenal wall lesion, consistent with this representing evolving haematoma.
Conclusion:
Duodenal wall haematoma.
Followup in 6-8 weeks could be performed for further reassurance.