EURORAD ESR

Case 9728

Widespread metastatic abdominal GIST

Author(s)
Scalise P, Angelini G, Pancrazi F, Aringhieri G, Accogli S, Lauretti D, Ginanni B, Bemi P, Neri E, Bartolozzi C.

Department of Diagnostic and Interventional Radiology,
University Hospital of Pisa, Italy
 
Patient
male, 46 year(s)
 
 
  • Figure 1
    Emergency CT evaluation
     

    CT images: arterial phase axial images showed the voluminous solid formation occupying left hemiabdomen (maximum diameter 194.40 mm), dislocating adjacent anatomical structures.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    CT images: arterial phase coronal images showed the voluminous solid formation (Maximum diameter 254.00 mm) occupying left hemiabdomen, mesogastrium and pelvis, extending from superior pole of spleen to pelvic cavity...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    CT images: arterial phase sagittal images showed the voluminous solid formation (maximum diameter 140.00 mm), compressing and dislocating adjacent anatomical structures, globally enclosing and incorporating left...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    CT colonography
     

    CT colonography showing no stenosing or obstructing endoluminal masses within the colic lumen. Descending colon is globally surrounded and extrinsically reduced by the huge endoperitoneal mass.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    CT colonography showing no stenosing or obstructing endoluminal masses within the colic lumen. Descending colon is globally surrounded and extrinsically reducted by the huge endoperitoneal mass.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Follow-up CT evaluation
     

    1-month follow-up CT image (arterial phase) in axial projection showing dimensional progression of the voluminous solid formation (maximum diameter 200.80 mm), with dishomogeneous contrast enhancement and not clearly...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;

    1-month follow-up CT image (arterial phase) in coronal projection showing dimensional progression of the voluminous solid formation (maximum diameter 250.30 mm), with dishomogeneous contrast enhancement and not...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;

    1-month follow-up CT image (arterial phase) in sagittal projection showing dimensional progression of the voluminous solid formation (maximum diameter 160.42 mm), with dishomogeneous contrast enhancement and not...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Follow-up CT evaluation
     

    2-month follow-up CT image (arterial phase) in axial projection showing further marked dimensional increase of the abdominal solid formation (maximum diameter 276.76 mm), with important displacement and compression of...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    2-month follow-up CT image (arterial phase) in coronal projection showing further marked dimensional increase of the abdominal solid formation (maximum diameter 360.60 mm), with important displacement and compression...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;

    2-month follow-up CT image (arterial phase) in sagittal projection showing further marked dimensional increase of the abdominal solid formation (maximum diameter 182.90 mm), with important displacement and compression...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;
     
     
CT images: arterial phase axial images showed the voluminous solid formation occupying left hemiabdomen (maximum diameter 194.40 mm), dislocating adjacent anatomical structures.
 
CT images: arterial phase coronal images showed the voluminous solid formation (Maximum diameter 254.00 mm) occupying left hemiabdomen, mesogastrium and pelvis, extending from superior pole of spleen to pelvic cavity and dislocating adjacent anatomical structures.
 
CT images: arterial phase sagittal images showed the voluminous solid formation (maximum diameter 140.00 mm), compressing and dislocating adjacent anatomical structures, globally enclosing and incorporating left descending/sigmoid colon.
 
CT colonography showing no stenosing or obstructing endoluminal masses within the colic lumen. Descending colon is globally surrounded and extrinsically reduced by the huge endoperitoneal mass.
 
CT colonography showing no stenosing or obstructing endoluminal masses within the colic lumen. Descending colon is globally surrounded and extrinsically reducted by the huge endoperitoneal mass.
 
1-month follow-up CT image (arterial phase) in axial projection showing dimensional progression of the voluminous solid formation (maximum diameter 200.80 mm), with dishomogeneous contrast enhancement and not clearly distinguishable from peritoneal implants.
 
1-month follow-up CT image (arterial phase) in coronal projection showing dimensional progression of the voluminous solid formation (maximum diameter 250.30 mm), with dishomogeneous contrast enhancement and not clearly distinguishable from peritoneal implants.
 
1-month follow-up CT image (arterial phase) in sagittal projection showing dimensional progression of the voluminous solid formation (maximum diameter 160.42 mm), with dishomogeneous contrast enhancement and not clearly distinguishable from peritoneal implants.
 
2-month follow-up CT image (arterial phase) in axial projection showing further marked dimensional increase of the abdominal solid formation (maximum diameter 276.76 mm), with important displacement and compression of the surrounding organs, in particular intestinal structures.
 
2-month follow-up CT image (arterial phase) in coronal projection showing further marked dimensional increase of the abdominal solid formation (maximum diameter 360.60 mm), with important displacement and compression of the surrounding organs, in particular intestinal structures.
 
2-month follow-up CT image (arterial phase) in sagittal projection showing further marked dimensional increase of the abdominal solid formation (maximum diameter 182.90 mm), with important displacement and compression of the surrounding organs, in particular intestinal structures.
 
 
 
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