EURORAD ESR

Case 9140

Patient with abdominal distension and discomfort. Antecedent colectomy 10 years before (ECR Case of the Day)

Author(s)
Ros Mendoza LH1, Marín MA1, Marcuello T1, Galbe R1, Ros PR2

(1) Department of Radiology, Hospital Miguel Servet, Zaragoza, Spain
(2) Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, Ma, USA
 
Patient
female, 42 year(s)
 
 
  • Figure 1
    Fig. 1 a

    Figure 1 a, b. Abdominal CT before intravenous contrast administration. There are two space occupying lesions with round morphology, a soft tissue appearance, and closely related to the mesenteric structures and the...

     
    Area of Interest: Abdomen; Imaging Technique: CT;
     
     
  • Figure 2
    Fig. 1 b

    Figure 1 a, b. Abdominal CT before intravenous contrast administration. There are two space occupying lesions with round morphology, a soft tissue appearance, and closely related to the mesenteric structures and the...

     
    Area of Interest: Abdomen; Imaging Technique: CT;
     
     
  • Figure 3
    Fig. 2 a

    Figure 2 a, b. CT after intravenous contrast administration. There is not a significant enhancement of the masses.

     
    Area of Interest: Abdomen; Imaging Technique: CT;
     
     
  • Figure 4
    Fig. 2 b

    Figure 2 a, b. CT after intravenous contrast administration. There is not a significant enhancement of the masses.

     
    Area of Interest: Abdomen; Imaging Technique: CT;
     
     
  • Figure 5
    Fig. 3 a

    Figure 3. Abdominal MRI before intravenous administration of gadolinium. a) Coronal T1 weighted image: the lesions present low intensity of signal, and a close relationship to the mesenteric structures.

     
    Area of Interest: Abdomen; Imaging Technique: MR;
     
     
  • Figure 6
    Fig. 3 b

    Figure 3. Abdominal MRI before intravenous administration of gadolinium. b) Axial T2 weighted image. The inferior mass presents a heterogeneous low intensity of signal, related to its major fibrous nature.

     
    Area of Interest: Abdomen; Imaging Technique: MR;
     
     
  • Figure 7
    Fig. 4 a

    Figure 4 a, b. MRI after intravenous administration of gadolinium. There is only a slight increase of signal intensity of the masses.

     
    Area of Interest: Abdomen; Imaging Technique: MR;
     
     
  • Figure 8
    Fig. 4 b

    Figure 4 a, b. MRI after intravenous administration of gadolinium. There is only a slight increase of signal intensity of the masses.

     
    Area of Interest: Abdomen; Imaging Technique: MR;
     
     
  • Figure 9
    Fig. 5 a

    Figure 5: a) Gross correlation. It shows the trabeculated, almost scarred appearance of the mass and the well defined contours.

     
    Area of Interest: Abdomen;
     
     
  • Figure 10
    Fig 5 b

    Figure 5 b) Microscopic correlation. It demonstrates the predominant fibrous nature of the lesion (*).

     
    Area of Interest: Abdomen;
     
     
Figure 1 a, b. Abdominal CT before intravenous contrast administration. There are two space occupying lesions with round morphology, a soft tissue appearance, and closely related to the mesenteric structures and the small bowel loops.
 
Figure 1 a, b. Abdominal CT before intravenous contrast administration. There are two space occupying lesions with round morphology, a soft tissue appearance, and closely related to the mesenteric structures and the small bowel loops.
 
Figure 2 a, b. CT after intravenous contrast administration. There is not a significant enhancement of the masses.
 
Figure 2 a, b. CT after intravenous contrast administration. There is not a significant enhancement of the masses.
 
Figure 3. Abdominal MRI before intravenous administration of gadolinium. a) Coronal T1 weighted image: the lesions present low intensity of signal, and a close relationship to the mesenteric structures.
 
Figure 3. Abdominal MRI before intravenous administration of gadolinium. b) Axial T2 weighted image. The inferior mass presents a heterogeneous low intensity of signal, related to its major fibrous nature.
 
Figure 4 a, b. MRI after intravenous administration of gadolinium. There is only a slight increase of signal intensity of the masses.
 
Figure 4 a, b. MRI after intravenous administration of gadolinium. There is only a slight increase of signal intensity of the masses.
 
Figure 5: a) Gross correlation. It shows the trabeculated, almost scarred appearance of the mass and the well defined contours.
 
Figure 5 b) Microscopic correlation. It demonstrates the predominant fibrous nature of the lesion (*).
 
 
 
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