Presentation
Lower abdominal pain, weight loss and anemia.
Patient Data
Markedly thickened, hypoechoic and hyperemic terminal ileal wall. Bowel wall thickness measures >2 cm.
Multiple enlarged lymph nodes along the ileocolic vascular pedicle.
Small focal hypoechoic lesion in the medial aspect of the spleen.
Markedly thickened terminal ileal wall with aneurysmal dilatation.
Multiple enlarged lymph nodes along the ileocolic vascular pedicle and in the retroperitoneum some of which appear partially necrotic.
Small focal low attenuation lesion in the medial aspect of the spleen.
Atrophic, scarred and hydronephrotic left kidney with obstructing calculus at the left PUJ. Two calculi in the left ureter at the VUJ. Non-dilated left ureter. Additional small bilateral non-obstructing renal calculi.
Case Discussion
The CT and ultrasound findings are highly suggestive of primary small bowel lymphoma. The main features to support this are the aneurysmal dilatation, degree of bowel wall thickening and large local lymph nodes.
Primary gastrointestinal lymphoma is most commonly found in the stomach, followed by the ileum 1.
Unable to process the form. Check for errors and try again.