National Cancer Institute®
Last Modified: November 21, 2001
UI - 21254743
AU - Kadmon M; Tandara A; Herfarth C
TI - Duodenal adenomatosis in familial adenomatous polyposis coli. A review of the literature and results from the Heidelberg Polyposis Register.
SO - Int J Colorectal Dis 2001 Apr;16(2):63-75
AD - Department of General Surgery, Heidelberg University, Im Neuenheimer Feld 110, 69120 Heidelberg, Germany. email@example.com
Familial adenomatous polyposis coli (FAP) is an autosomal dominant genetic disorder caused by mutations of the APC gene on the long arm of chromosome 5. While multiple colorectal adenomas usually developing in early adolescence represent the most conspicuous phenotypic feature, the disease represents a generalized hyperproliferative disorder with various extracolonic manifestations. Duodenal cancer and desmoids are the leading causes of death in FAP patients after prophylactic colectomy. The prevalence of duodenal adenomatosis among FAP patients varies from 50% to greater than 90%, while only few patients (3-5%) develop duodenal cancer. Periampullary adenomas seem to carry a high risk of malignant transformation. The sensitivity of endoscopic procedures for early detection of severely dysplastic or malignant duodenal lesions is low, and the prognosis of duodenal cancer is poor. Thus the question arises whether it is possible to define a subgroup of high-risk patients for duodenal malignancy, and whether severe duodenal adenomatosis should lead to an aggressive prophylactic surgical approach. This contribution discusses the current literature and presents the experience of the Heidelberg Polyposis Register based on gastroduodenoscopy findings in 231 FAP patients. In 135 cases (58.4%) macroscopic duodenal adenomas were observed. The majority of patients displayed numerous lesions throughout the duodenum, while adenomas were restricted to the periampullary region in ten. Four patients suffered from duodenal cancer. Twenty-two required an endoscopic or operative intervention. Five were treated by laparotomy and duodenotomy, while ampullary excision was indicated in six cases. Eight patients underwent partial pancreaticoduodenectomy for severe duodenal adenomatosis.
UI - 21346305
AU - Asano Y; Ishii K; Sagiuchi T; Aoki Y; Yanaihara H; Hayakawa K
TI - [Gastrointestinal bleeding from capillary hemangioma of the ileum detected by 99mTc-HSAD scintigraphy]
SO - Kaku Igaku 2001 May;38(3):219-22
AD - Department of Radiology, Kitasato University School of Medicine.
It has been well-known that technetium-99m-human serum albumin-diethylenetriaminepenta-acetic acid (99mTc-HSAD) scintigraphy is useful for diagnosis of the localization of the gastrointestinal arterial or venous bleeding. In this report, we describe a case of venous bleeding from capillary hemangioma of the ileum end detected by 99mTc-HSAD scintigraphy. This patient was a 9-year-old girl with severe anemia. Gastrointestinal bleeding was suspected from her clinical course and laboratory tests. Immediately after melena occurred, 99mTc-HSAD scintigraphy showed the extravasation of RI suggesting gastrointestinal bleeding in the ileum end. Abdominal angiography immediately after 99mTc-HSAD scintigraphy, however, could not show the extravasation of contrast agent. Because the condition of the patient became worse, laparotomy was performed on the basis of 99mTc-HSAD scintigraphy findings. At surgery, venous bleeding from capillary hemangioma in the ileum end was observed. It was suggested that 99mTc-HSAD scintigraphy was very useful for identifying the gastrointestinal venous bleeding.
UI - 21375988
AU - Ferrozzi F; Armaroli S; Pedrazzini M; Tognini G; Pavone P
TI - Duodenal hemangiopericytoma: CT and MRI findings.
SO - Clin Imaging 2001 Mar-Apr;25(2):101-3
AD - Istituto di Scienze Radiologiche, Universita degli Studi di Parma, Viale Gramsci 14, Parma I-43100, Italy. firstname.lastname@example.org
Hemangiopericytoma (HPC) is a rare mesenchymal tumor generally occurring in adults and originating from the pericytes. The tumor more commonly affects the soft tissues of the extremities, the pelvis, and the retroperitoneum. We describe the computed tomographic and magnetic resonance appearance of a patient affected by HPC of the duodenum.
UI - 21435100
AU - Rymarczyk G; Hartleb M; Boldys H; Kajor M; Wodolazski A
TI - Neurogenic tumors of the digestive tract: report of two cases.
SO - Med Sci Monit 2000 Mar-Apr;6(2):383-5
AD - Department of Gastroenterology, Silesian Medical University, ul. Medykow 14, 40-752 Katowice, Poland.
We report two female patients with neurogenic tumors of the digestive tract. In the first patient, the tumor of 10 cm diameter originated in the stomach and at preoperative CT imitated a peripancreatic cyst. In the second patient, the tumor of 6 cm diameter originated in the duodenum. Despite large size, the tumors were clinically indolent and escaped detection at routine endoscopic evaluation. In both cases the neoplasm was removed and postoperative histopathology combined with immunohistochemistry was consistent with diagnosis of digestive Schwannoma.
UI - 21393535
AU - Ishida H; Konno K; Sato M; Naganuma H; Komatsuda T; Yamada N; Hamashima
TI - Y; Ishida J; Segawa D; Watanabe S Duodenal carcinoma: sonographic findings.
SO - Abdom Imaging 2001 Sep-Oct;26(5):469-73
AD - First Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita City, Japan.
BACKGROUND: Duodenal carcinoma is a relatively rare tumor and its sonographic (US) findings have rarely been reported. METHODS: We reviewed the clinical data and US results of 15 patients with histologically proven duodenal carcinoma to pinpoint the contribution of US to the diagnosis. RESULTS: US was useful for not only detecting the duodenal carcinoma (13 of 15, 86.7%), which altered the endoscopic procedure in nine patients, but also for evaluating vascular involvement (marked portal invasion in four cases and inferior vena cava invasion in two cases). Four of the eight carcinomas arising from the second or third portion showed this vascular invasion. CONCLUSION: After reviewing the clinical data and US results of 15 cases of duodenal carcinoma, we found that US was useful for detecting duodenal carcinoma and determining vascular invasion. Thus, US contributed significantly to alter the endoscopic procedure and patient management.
UI - 21416562
AU - Kanamori A; Okamura S; Ohashi S; Urano F; Kanamori S; Hosoi T; Ishikawa
TI - H; Kitabatake S; Sano H; Segawa K [A case of carcinoma of the ileum invading proper muscular layer]
SO - Nippon Shokakibyo Gakkai Zasshi 2001 Aug;98(8):959-63
AD - Department of Gastroenterology, Toyohashi Municipal Hospital.
UI - 21420067
AU - Mahachai V; Vilaichone RK; Wisedopas N
TI - Malignant duodenal stromal tumor: the first case report in Thailand and review of the literature.
SO - J Med Assoc Thai 2001 Jun;84 Suppl 1():S481-4
AD - Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
The authors presented a middle aged Thai patient with malignant duodenal stromal tumor identified at a tertially care centre in Thailand. The patient presented with obscure gastrointestinal bleeding and the small bowel endoscopy revealed a bleeding tumor mass at the fouth part of the duodenum. The patient underwent segmental duodenectomy with end to end anstosomis. The histopathology of the tumor composed of interlacing bundles of spindle cells with oval to elongated pleomorphic nuclei and eosinophilic cytoplasm. The immunohistochemistrical study confirmed the diagnosis of malignant stromal tumor with smooth muscle differentiation. The computer tomography scan (CT scan) of the abdomen showed no evidence of metastasis. Postoperatively, the patient's clinical condition showed continuous improvement without further gastrointestinal bleeding. The patient has remained healthy up to present (six months of follow-up). A high level of suspicion to detect this malignant tumor especially in a patient presenting with obscure gastrointestinal bleeding and effective surgical treatment allow better clinical outcome in this rare and fatal malignancy.
UI - 21441830
AU - Abrahams NA; Vesoulis Z; Petras RE
TI - Angiogenic polypoid proliferation adjacent to ileal carcinoid tumors: a nonspecific finding related to mucosal prolapse.
SO - Mod Pathol 2001 Sep;14(9):821-7
AD - Department of Anatomic Pathology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Case reports have highlighted angiogenic polypoid proliferation in the mucosa adjacent to ileal carcinoid tumors, describing them as granulation tissue polyposis and florid angiogenesis. Some authors have proposed that the ileal carcinoid tumors themselves produce growth factors that cause the change. The purpose of this study was to determine the frequency of angiogenic polypoid proliferation in a large cohort of resected ileal carcinoid tumors compared with control groups. Search of the Cleveland Clinic and Summa Health System pathology files (1985 to 1999) yielded 65 resected ileal carcinoid tumors. Mucosal abnormalities adjacent to the ileal carcinoid tumors were graded 0 to 4+. Twenty ileal resection margins from colonic carcinoma cases served as normal controls. Ileal mucosa adjacent to 22 noncarcinoid neoplasms were also examined. The mucosa adjacent to 54/65 ileal carcinoid tumors (83%) showed mucosal abnormalities (vs. 3/20 normal controls), including mucosal edema, capillary ectasia, muscularis mucosae hypertrophy, fibrosis/smooth muscle proliferation within the lamina propria, club-shaped villi, and intramucosal capillary proliferation. Forty ileal carcinoid tumor cases (61%) showed some degree of angiogenic polypoid proliferation characterized by club-shaped villi and prominent intramucosal capillaries, with 17 (26%) graded as 3+ or 4+. Angiogenic polypoid proliferation was associated with hypertrophy of the muscularis mucosae, lamina proprial fibrosis/smooth muscle proliferation, and capillary ectasia similar to that described with gastrointestinal mucosal trauma/prolapse. This trauma/prolapse change was identified in 45 cases (69%) and was graded 3+ or 4+ in 23 (35%). Seventeen (77%) of the noncarcinoid neoplasms showed trauma/prolapse changes, with 7 (32%) graded as 3+ or 4+. Angiogenic polypoid proliferation also correlated with trauma/prolapse change in the noncarcinoid neoplasm controls. Neither APP (P =.24) nor the prolapse changes (P =.33) were found to be statistically different between the two tumor groups. Angiogenic polypoid proliferation of the adjacent ileal mucosa is common in patients with ileal carcinoid tumors and with noncarcinoid neoplasms. Angiogenic polypoid proliferation almost invariably coexists with fibromuscular change and capillary ectasia within the lamina propria, suggesting that mucosal trauma/prolapse plays a role in the histogenesis. The association of angiogenic polypoid proliferation with a variety of different neoplasms makes it unlikely that the tumors themselves secrete growth factors.
UI - 21454843
AU - Strobel K
TI - [Small intestine invagination in metastatic intestinal malignant melanoma]
SO - Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 2001 Aug;173(8):768-9
UI - 21453173
AU - Capirci C; Polico C; Mandoliti G
TI - Dislocation of small bowel volume within box pelvic treatment fields, using new "up down table" device.
SO - Int J Radiat Oncol Biol Phys 2001 Oct 1;51(2):465-73
AD - Department of Radiation Oncology, Rovigo's State Hospital, Rovigo, Italy.
PURPOSE: To present the impact of a novel minimization device, the up down table (UDT), on the volume of small bowel included within a 4-field pelvic irradiation plan. METHODS: A polystyrene bowel displacement standard mold was created and added to a customized vacuum cushion (Vac Lok) formed around the abdomen and legs of each patient in the prone position. Two hundred seventy-seven consecutive patients with pelvic malignancies treated with the UDT device were compared with 1 historic series (68 cases) treated at our division. Small bowel contrast dyes at the time of simulation were used in all patients. RESULTS: The average volume of small bowel within the planning target volume (high-dose volume, calculated with Gallagher method) was 100 cm(3) (median 49 +/- 114) in the series treated with standard box technique and 23 cm(3) (median 0 +/- 64) in the series treated with the UDT (p < 0.001). The average volume of small bowel included in any isodose (any-dose volume) was 505 cm(3) (median 447 +/- 338) and 158 cm(3) (median 69 +/- 207), respectively (p < 0.001). The incidence of G1, G2, and G3 acute enteric toxicity (Radiation Therapy Oncology Group criteria) in the UDT series was 16%, 15%, and 1.5%; in the standard box technique, it was 28%, 25%, and 3%, respectively (p < 0.05). The incidence of acute enteric toxicity directly correlated with the irradiated small bowel volume. In the UDT series, the 5-year actuarial incidence of G3 chronic enteric toxicity was 1.8%. The setup procedures, analyzed in 18 cases, revealed no systematic errors and a standard deviation equal to +/-5 mm for random errors. CONCLUSIONS: The UDT technique is comfortable, inexpensive, highly reproducible, and permits an almost full bowel displacement from standard radiotherapy fields.
UI - 21290106
AU - Rizzo S; Bonomo S; Moser A; Bottura D; Castellini C; Mazzola F; Lauro E;
TI - Vicenzi L; Betresini B; Angeli G; Brazzarola P; D'Azzo G; Rosa G [Bilateral pheochromocytoma associated with duodeno-jejunal GIST in patient with von Recklinghausen disease: report of a clinical case]
SO - Chir Ital 2001 Jan-Feb;53(2):243-6
AD - Dipartimento di Scienze Chirurgiche e Gastroenterologiche Cattedra di Semeiotica e Metodologia Chirurgica, Universita degli Studi di Verona.
The authors present the case of a 60-year-old male patient suffering from von Recklinghausen's disease (neurofibromatosis type I, NF1) with bilateral pheochromocytoma and occasional intraoperative reports of duodenojejunal GIST (GastroIntestinal Stromal Tumour). Through a review of the literature the authors analyze the frequency and the features of bilateral pheochromocytoma and its rare histological variant, the so-called composite pheochromocytoma, characterized by the combination of pheochromocytoma and ganglioneuroma or ganglioneuro-blastoma. Bilaterality of pheochromocytoma is more frequent in patients with familiarity for pheochromocytoma without NF1. Composite pheochromocytoma accounts for about 3% of total pheochromocytomas. In addition, the authors summarize the present knowledge about gastrointestinal stromal tumours and investigate the possible association between them and NF1 or pheochromocytoma, concluding that any such association is purely casual, while confirming the well known, genetically determined association between NF1 and pheochromocytoma.
UI - 21384119
AU - Fleisch MC; Schmidt J; Zirngibl H
TI - [Jejunum interposition as replacement of the pars descendens duodeni in extensive tubulovillous adenoma]
SO - Chirurg 2001 Jul;72(7):832-5
AD - Lehrstuhl fur Chirurgie II, Universitat Witten/Herdecke. M.Fleisch@t-online.de
Reconstruction after partial duodenectomy with resection of the ampulla of Vater is often troublesome. We report the case of a 70-year-old patient with endoscopically non-resectable tubulo-villous adenoma of the descending duodenum including the ampulla of Vater in which subsequent biopsies revealed dysplastic areas. A partial resection of the descending duodenum including the ampulla of Vater was performed. Reconstruction was achieved by the interposition of a jejunal limb in which the ampulla could be reinserted to the posterior wall. The postoperative course was uneventful; a carcinoma was not found within the specimen. In cases of widespread adenomas of the ampulla of Vater, duodenum-preserving resection by interposition of a jejunal limb with reinsertion of the ampulla into the posterior wall may be used as an alternative to Roux-Y reconstruction and to Whipple's procedure.
UI - 21419020
AU - Scintu F; Giordano M; Mascia R; Comella D; Casula G
TI - Neuromuscular and vascular hamartoma of the small intestine.
SO - Dig Surg 2001;18(4):331-3
AD - Chirurgia Generale II, University of Cagliari, Cagliari, Italy. email@example.com
Neuromuscular and vascular hamartoma is an extremely rare stricturing condition of the small bowel. It consists of abnormal mixtures of intestinal tissues: disorganized fascicles of smooth muscle derived from the submucosa, bundles of nonmyelinated nerve fibers with scattered abnormal ganglion cells and hemangiomatous vessels, occurring focally and causing recurrent obstructive symptoms or occult chronic gastrointestinal bleeding. In this paper we report our experience with this tumor. Copyright 2001 S. Karger AG, Basel
UI - 21456740
AU - van Ruth S; de Vos tot Nederveen Cappel WH; van Laarhoven CJ; Vasen HF
TI - [Frequency of duodenal adenomas in patients with familiar adenomatous polyposis]
SO - Ned Tijdschr Geneeskd 2001 Sep 8;145(36):1744-8
AD - Universitair Medisch Centrum, afd. Heelkunde, Utrecht.
OBJECTIVE: To estimate the prevalence of polyps in the stomach and duodenum in patients with familial adenomatous polyposis (FAP), and to examine the relationship between age and severity of duodenal adenomatosis. DESIGN: Retrospective. METHOD: Using the FAP-registry of the Netherlands Foundation for the Detection of Hereditary Tumours, data were obtained from patients who had undergone a gastroduodenoscopy to classify the duodenal adenomas according to the Spigelman classification. RESULTS: 224 patients had undergone at least one gastroduodenoscopy: 117 men and 107 women with a mean age at the time of the first endoscopy of 37 years (range: 13-78). Fundic gland polyposis was detected in 79 patients (35%), stomach adenomas in 6 patients (3%) and duodenal adenomas in 92 patients (41%). A total of 21 patients (9%) had severe duodenal adenomatosis (Spigelman III or IV). Duodenal adenomatosis was often more severe if the patient was older. Ten patients were known to have duodenal cancer; the mean age at diagnosis was 50.3 years (range: 39-67). CONCLUSION: Nearly 10% of the patients with FAP had developed severe duodenal adenomatosis. The severity of duodenal adenomatosis was related to the patient's age.
UI - 21467940
AU - Danikas D; Sachs R; Dressner RM; Arvanitis ML
TI - Testicular metastasis from ileal carcinoid: report of a case.
SO - Dis Colon Rectum 2001 Sep;44(9):1365-6
AD - Department of Surgery, Monmouth Medical Center, Long Branch, New Jersey, USA.
PURPOSE: This report presents a patient with testicular metastasis from an ileal carcinoid. METHODS: This was a retrospective case review with literature review. RESULTS: The patient underwent right orchiectomy for a solid mass. Pathology revealed carcinoid tumor. Octreotide scan showed increased concentration in the right lower quadrant of the abdomen. Computerized tomography results were negative. Colonoscopy with biopsy revealed carcinoid of the terminal ileum. The patient underwent an elective resection of the terminal ileum and the right colon. Pathology revealed carcinoid tumor with vascular and lymphatic invasion present, and eight lymph nodes were positive. The patient had adjuvant treatment with octreotide. CONCLUSION: Carcinoid tumors have been reported to metastasize to numerous areas. This is the first report of testicular metastasis from ileal carcinoid. Primary carcinoids of the testicle have been reported also. The clinician should be aware of this rare metastatic event. When pathology reveals carcinoid of the testicle, metastatic disease should be excluded before the tumor is identified as primary.
UI - 21263180
AU - Gorsler C; Schier F; Danzer E
TI - Ciliated epithelium in a midgut enteric duplication: a case report.
SO - Eur J Pediatr Surg 2001 Apr;11(2):136-8
AD - Department of Pediatric Surgery, University Medical Center Jena, Germany.
We report the case of a 7-year-old male child with a cystic tumour attached to the caecum close to the ileocaecal valve. The histological examination showed that the cyst had a ciliated epithelial lining, containing serous and mucous glands, with surrounding smooth muscle, inner circular and outer longitudinal layers. The cyst was interpreted as an intestinal duplication lined with respiratory epithelium. This structure and its location, originating from the midgut, is not in accordance with the typical conception of the embryogenesis. The clinical picture and treatment are described and compared to other findings in the literature.
UI - 21289719
AU - Suzuki H; Ikeda K
TI - Endoscopic mucosal resection and full thickness resection with complete defect closure for early gastrointestinal malignancies.
SO - Endoscopy 2001 May;33(5):437-9
AD - Dept. of Endoscopy, Jikei University School of Medicine, Tokyo, Japan. firstname.lastname@example.org
BACKGROUND AND STUDY AIMS: We developed a new endoscopic technique, the endoscopic full-thickness resection (EFTR) and endoscopic complete defect closure (ECDC), for the treatment of early gastrointestinal malignancies. PATIENTS AND METHODS: Two rectal and one duodenal carcinoid were treated by EFTR with ECDC and resectability, complications and pathological findings were evaluated. RESULTS: In all cases, the lesion was completely resected without serious complications. The histology of the specimen also confirmed complete resection of the tumor. CONCLUSIONS: This technique has great potential for the treatment of early gastrointestinal malignancies. Preliminary results have shown that early malignant gastrointestinal lesions can be safely and completely resected by EFTR with ECDC.
UI - 21300181
AU - Altavilla G; Chiarelli S; Fassina A
TI - Duodenal periampullary gangliocytic paraganglioma: report of two cases with immunohistochemical and ultrastructural study.
SO - Ultrastruct Pathol 2001 Mar-Apr;25(2):137-45
AD - Institute of Pathological Anatomy and Histology, University of Padova, Italy. email@example.com
We report two cases of Gangliocytic Paraganglioma (GP) of the ampulla of Vater occurring in a 63-year-old and a 34-year-old individual. The patients were both admitted for a long history of intermittent gastrointestinal bleeding and abdominal discomfort, with no other symptoms. At endoscopy, the GP appeared as a polypoid, ulcerated mass in the ampullar region, measuring 2.5x1.8 and 2 cm, respectively. Microscopically, the tumors showed similar features and were composed of epithelial cells (more than 50%), spindle cells, and ganglion-like cells. The epithelial cells showed clear cytoplasm and formed nests (zellballen or paraganglioma-like groups), and less frequently, cords (carcinoid-like), extending to mucosa and submucosa. Ganglion cells were sparse, constantly associated with the spindle cells. Both epithelial and ganglion cells were synaptophysin, chromogranin A, and anti-neurofilament immunoreactive. The spindle cells were all S-100 positive. Ultrastructural studies revealed dark and light cells, rare elongated cellular processes, secretory granules, and fine fibrils resembling neurofilaments. The histogenesis of GP is still a matter of debate, however its neoplastic nature is supported by the occasionally reported malignant evolution.
UI - 21342885
AU - Hutchins RR; Bani Hani A; Kojodjojo P; Ho R; Snooks SJ
TI - Adenocarcinoma of the small bowel.
SO - ANZ J Surg 2001 Jul;71(7):428-37
AD - King George Hospital, Essex, UK. firstname.lastname@example.org
Cancer of the small bowel is a rare entity but its incidence is rising. Historically, outcome is poor despite apparent curative resection. At present surgery remains the only treatment modality of proven benefit in the management of this disease. Recent data would suggest 5-year survival rates in the order of 40-50% at all sites of small bowel cancer. To improve upon this, earlier diagnosis with a high index of suspicion and multicentre adjuvant therapy trials are required.
UI - 21462462
AU - Langer P; Wild A; Celik I; Kopp I; Bergenfelz A; Bartsch DK
TI - Prospective controlled trial of a standardized meal stimulation test in the detection of pancreaticoduodenal endocrine tumours in patients with multiple endocrine neoplasia type 1.
SO - Br J Surg 2001 Oct;88(10):1403-7
AD - Department of General Surgery, Philipps-University, Marburg, Germany.
BACKGROUND: Use of a standardized meal stimulation test has been recommended for the early diagnosis of pancreaticoduodenal endocrine tumours (PETs) in patients with multiple endocrine neoplasia type 1 (MEN 1). The diagnostic value of this test was re-evaluated. METHODS: In a prospective, controlled trial 58 standardized meal stimulation tests (563 kcal) were performed in 12 patients with MEN 1 and histologically, biochemically and/or radiologically confirmed PETs (group 1), 11 carriers of an MEN 1 mutation with no evidence of PETs (group 2) and in 27 healthy controls (group 3). Serum pancreatic polypeptide (PP) and gastrin concentrations were measured before and during the test meal. RESULTS: Patients in group 1 had significantly higher mean basal serum PP and gastrin concentrations than patients in group 2 and controls (P < 0.05). In all three groups an increase in serum PP was observed after meal stimulation, but there was no significant difference between the groups. No increase in gastrin level was found in any of the groups after meal stimulation. CONCLUSION: The standardized meal stimulation test does not reliably indicate the presence of PETs in patients with MEN 1, whereas raised basal serum PP and gastrin levels do. The expensive and time-consuming meal test can be excluded from MEN 1 screening programmes.
UI - 20351099
AU - Block KP; Frick TJ; Warner TF
TI - Gastrointestinal bleeding from a Brunner's gland hamartoma: characterization by endoscopy, computed tomography, and endoscopic ultrasound.
SO - Am J Gastroenterol 2000 Jun;95(6):1581-3
AD - Department of Medicine, University of Wisconsin-Madison, USA.
UI - 21398444
AU - Jouini S; Ayadi K; Mokrani A; Wachuku E; Hmouda H; Gourdie R
TI - [Mediterranean lymphoma mimicking Crohn's disease]
SO - J Radiol 2001 Jul;82(7):855-8
AD - Departement d'Imagerie Medicale, King Khalid Military City Hospital, Hafal Al Batin 31991 Arabie Saoudite, France.
We report an uncommon localization of mediterranean lymphoma of the terminal ileum in a 28 year-old male patient. Ultrasound and Computed Tomography showed moderate regular and symmetrical intestinal wall thickening simulating Crohn's disease. We highlight the role of computed tomography in the diagnosis, staging and detection of complications.
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