The Duodenocolic Relationships: Normal and Pathologic Anatomy

  • Morton A. Meyers


The precise anatomic relationships between the duodenal loop and the transverse colon are often of critical importance in the radiologic interpretation of upper abdominal pathology. Their points of most intimate relationship represent anatomic crossroads between intraperitoneal and extraperitoneal structures and thus permit specific localization and diagnosis of a disease process.1Because of this relationship, a lesion originating in one may exert its major effects on the other. Particularly if radiologic investigation is initiated by a study that manifests the striking secondary effects, the presentation of findings may then be very misleading until the nature of the relationship and the primary site are appreciated.


Transverse Colon Acute Cholecystitis Hepatic Flexure Duodenal Bulb Transverse Mesocolon 
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  1. 1.
    Meyers MA, Whalen JP: Roentgen significance of the duodenocolic relationships: An anatomic approach. AJR 117: 263–274, 1973CrossRefGoogle Scholar
  2. 2.
    Whalen JP, Riemenschneider PA: Analysis of normal anatomic relationships of colon as applied to roentgenographic observations. AJR Rad Ther Nucl Med 99: 55–61, 1967CrossRefGoogle Scholar
  3. 3.
    Friedman SM: Position and mobility of duodenum in living subject. Am J Anat 79: 147–165, 1946PubMedCrossRefGoogle Scholar
  4. 4.
    Treitel H, Meyers MA, Maza V: Changes in the duodenal loop secondary to carcinoma of the hepatic flexure of the colon. Br J Radiol 43: 209–213, 1970PubMedCrossRefGoogle Scholar
  5. 5.
    Vieta JO, Blanco R, Valentini GR: Malignant duodenocolic fistula: Report of two cases, each with one or more other synchronous gastrointestinal cancers. Dis Colon Rectum 19: 542–552, 1976PubMedCrossRefGoogle Scholar
  6. 6.
    Korelitz BI: Colonic—duodenal fistula in Crohn’s disease. Digest Dis 22: 1040–1048, 1977CrossRefGoogle Scholar
  7. 7.
    Jacobson IM, Schapiro RH, Warshaw AL: Gastric and duodenal fistulas in Crohn’s disease. Gastroenterology 89: 1347–1352, 1985PubMedGoogle Scholar
  8. 8.
    Herlinger H, O’Riordan D, Saul S, et al: Nonspecific involvement of bowel adjoining Crohn disease. Radiology 159: 47–51, 1986PubMedGoogle Scholar
  9. 9.
    Torrance B, Jones C: Three cases of spontaneous duodenocolic fistula. Gut 13: 627–630, 1972PubMedCentralPubMedCrossRefGoogle Scholar
  10. 10.
    Ghahremani GG, Meyers MA: The cholecystocolic relationships: A roentgen—anatomic study of the colonic manifestations of gallbladder disorders. AJR 125: 21–34, 1975CrossRefGoogle Scholar
  11. 11.
    Meyers MA: Spread and localization of acute intraperitoneal effusions. Radiology 95: 547–554, 1970PubMedGoogle Scholar
  12. 12.
    Meyers MA: Leiomyosarcoma of the duodenum: Radiographic and arteriographic features. Clin Radiol 22: 257–260, 1971PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • Morton A. Meyers
    • 1
  1. 1.Department of Radiology, School of MedicineState University of New York at Stony BrookStony BrookUSA

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