Hamburger sign

Case contributed by Dr Laughlin Dawes

Patient Data

Age: 75
Gender: Female

Case Discussion

This 75 year-old female with known chronic lymphocytic leukemia presented in extremis with abdominal pain, abdominal distention, acidosis and elevated lactate. A CT was performed for possible ischemic colitis.

There is cecal pneumatosis and dilatation consistent with ischemia. There is also a mesenteric and para-aortic nodal mass with the hamburger sign suggesting lymphoma.

Americans may try to tell you this is the sandwich sign. The sign is specific for mesenteric lymphoma (typically non-Hodgkin) unless the patient has had a transplant. If so, posttransplant lymphoproliferative disorder should be considered.

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Case information

rID: 7686
Published: 18th Nov 2009
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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