EURORAD ESR

Case 12292

A rare cause of abdominal mass

Author(s)
Costa R, Oliveira C, Dionisio A, Caseiro-Alves F

University Hospital of Coimbra,
Faculty of Medicine,
Medical Imaging Department
Praceta Prof. Mota Pinto
3000-075 Coimbra, Portugal;
Email:alvescosta87@gmail.com
 
Patient
female, 63 year(s)
 
 
  • Figure 1
    Abdominal CT, axial image, arterial phase

    Axial section demonstrates an irregular soft tissue mass in the small bowel mesentery, extending to the peripancreatic area (arrows). Note the enlarged retroperitoneal (arrowheads) and mesenteric (short arrows) lymph...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    Abdominal and pelvic CT, coronal volume-rendered image, arterial phase

    Coronal volume-rendered image demonstrates an irregular soft tissue mass in the small bowel mesentery, extending to the peripancreatic area (arrows).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Abdominal CT, axial image, arterial phase

    Axial section demonstrates the mass in the small bowel mesentery, to the left of midline. Note that the mass encases the superior mesenteric artery (long arrow), without reducing its calibre.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    Abdominal and pelvic CT, coronal volume-rendered image, arterial phase

    Coronal volume-rendered image demonstrates the mass in the small bowel mesentery, to the left of midline. Note that the mass encases the mesenteric vessels (arrowheads), without reducing their calibre.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 5
    Abdominal and pelvic CT six months later

    Axial section and coronal volume-rendered image show a marked decrease in the size of the mass (arrow). There is mesenteric fat stranding. Lymph nodes are increased in number, but no longer enlarged.

     
    Area of Interest: Abdomen; Lymph nodes; Small bowel; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Axial section demonstrates an irregular soft tissue mass in the small bowel mesentery, extending to the peripancreatic area (arrows). Note the enlarged retroperitoneal (arrowheads) and mesenteric (short arrows) lymph nodes.
 
Coronal volume-rendered image demonstrates an irregular soft tissue mass in the small bowel mesentery, extending to the peripancreatic area (arrows).
 
Axial section demonstrates the mass in the small bowel mesentery, to the left of midline. Note that the mass encases the superior mesenteric artery (long arrow), without reducing its calibre.
 
Coronal volume-rendered image demonstrates the mass in the small bowel mesentery, to the left of midline. Note that the mass encases the mesenteric vessels (arrowheads), without reducing their calibre.
 
Axial section and coronal volume-rendered image show a marked decrease in the size of the mass (arrow). There is mesenteric fat stranding. Lymph nodes are increased in number, but no longer enlarged.
 
 
 
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