CT Patterns of Mesenteric Disease

Whitley, Nancy O.; Bohlman, Mark E.; Baker, Leonard P.

doi:10.1097/00004728-198206000-00009

Cited by 51 publications

(20 citation statements)

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“…Wall thickening could be caused by local tumour invasion but the most plausible explanation is that the fibrotic mesenteric lesion, in combination with vascular elastosis, encases the venous drainage from the gut causing venous congestion. The finding is characteristic, although it can also be found in ovarian carcinoma, Hodgkin's disease and non-Hodgkin's lymphoma as well as in leukaemia and colonic and pancreatic cancer (5,12,13).…”

Section: Discussionmentioning

confidence: 95%

Midgut Carcinoid Tumours

et al. 1995

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CT was performed on 80 patients referred for staging and treatment of histologically verified midgut carcinoid tumours. In 17 cases (21%) CT was normal in spite of biochemical signs of tumour (increased U-5-HIAA). The most common finding was liver metastases in 54/80 (68%) of patients. Mesenteric metastases, usually as a soft tissue mass at the mesenteric root, were found in 17/80 (21%). Retroperitoneal adenopathy was found in 19/80 (24%). During a follow-up time of 3 months to 10 years (median 3 years) 445 additional CT examinations were performed on 77 patients. In 39 of these, progressive disease (new lesions) was found after a median time of 15 months (range 3 months-6.5 years). CT is poor in detecting primary carcinoid tumours but helpful in evaluating the extent of tumour spread before surgical exploration and during follow-up once the diagnosis has been established.

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Section: Discussionmentioning

confidence: 95%

Midgut Carcinoid Tumours

et al. 1995

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“…Lymphatic leukemia can also produce masses of nodes. Differentiation between leukemia and non-Hodgkin lymphoma was not possible by CT (19). The majority of rounded and ill-defined masses occurred in patients with lymphoma.…”

Section: Discussionmentioning

confidence: 98%

“…WHITLEY et coli. (19) described CT findings in different types of mesenteric disease as I) rounded masses, 2) cake-like masses, 3) ill-defined masses and 4) a stellate mesentery. The most common cause of mesenteric masses in their study was ovarian carcinoma and non-Hodgkin lymphoma; other etiologies included involvement of the mesentery with other common malignancies such as carcinoma of the colon and pancreas, and leukemia.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Computed Tomography in Macroglobulinemia (Waldenström's Disease)

Aspelin¹,

Adielsson²,

Dimitrov³

et al. 1989

Acta Radiol

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The findings at abdominal computed tomography (CT) in a patient with primary macroglobulinemia (Waldenstrorn's disease) are reported. CT was of special value in monitoring the extent of the disease in the abdomen and the response to treatment. At the first examination the patient had changes in both the reticuloendothelial system and the small bowel. The prompt disappearance on treatment of the small bowel changes proves that these changes were due to a high plasma viscosity syndrome. The slow response on the liver, spleen and lymph nodes suggests lymphomatous engagement. Although the primary method to diagnose Waldenstrom's disease is through laboratory tests, CT is of use in monitoring the abdominal involvement, especially the response to treatment.

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“…Mesenteric lymphoma can have multiple appearances on CT ranging from an ill-defined infiltration into mesenteric fat to a single or multiple lobulated masses that can encase mesenteric vessels and displace bowel loops [6]. However, mesenteric lymphoma occurs most commonly via direct extension of retroperitoneal disease.…”

Section: Expert Discussion (Dr Elsayes)mentioning

confidence: 99%

Radiological Reasoning: Multiple Mesenteric Masses

Elsayes¹,

Broski²,

Makramalla³

2010

American Journal of Roentgenology

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OBJECTIVEWe discuss the major disease entities that are considered in the differential diagnosis of mesenteric masses and explain how a final diagnosis of desmoid tumors may be reached on the basis of the clinical and imaging findings in a case presentation. CONCLUSIONCorrelation of imaging findings with clinical history and recognition of important ancillary imaging findings are essential to reaching an appropriate diagnosis and promptly initiating management. The diagnosis of desmoid tumors should be considered when mesenteric masses are visualized in the clinical setting of familial adenomatous polyposis, especially when ancillary findings such as previous total colectomy are present. Case HistoryA 46-year-old woman presenting to her gynecologist for a routine physical complained of the insidious onset of bilateral lower flank pain. The pain had been present for several weeks and was described as a dull ache on both sides of the lower back with occasional bouts of sharp stabbing pain radiating to the right shoulder. The gynecologist performed urinary tracttargeted ultrasound, which showed possible evidence of renal obstruction. The gynecologist then referred the patient for dedicated renal sonography. Laboratory testing revealed an unremarkable urinalysis, a creatinine level of 1.3 mg/dL, and an estimated glomerular filtration rate of 47 mL/min.

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CT Patterns of Mesenteric Disease

Cited by 51 publications

References 0 publications

Midgut Carcinoid Tumours

Midgut Carcinoid Tumours

Abdominal Computed Tomography in Macroglobulinemia (Waldenström's Disease)

Radiological Reasoning: Multiple Mesenteric Masses

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