Radiological Reasoning: Multiple Mesenteric Masses

Abstract

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.

Mimics of Duplication Cysts: Intraperitoneal Nodules in a 14-Year-Old Boy

“…A case of multiple mesenteric masses in an adult, proven not to be desmoid fibromatosis, has been reported. 8 …”