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Case of the Week 516



What is the most likely diagnosis?

  • 58 year-old with axillary adenopathy



Coronal Reconstruction of CT of Abdomen and Pelvis

  1. Degenerative Disk Disease
  2. Cirrhosis
  3. Sickle Cell Disease
  4. Uterine Fibroids
  5. Small Bowel Lymphoma

Additional Images-Axial CT Scan of Abdomen and Pelvis

 

Additional Images

 

Axial CT Scan of Abdomen and Pelvis


Answer:

 

5. Small Bowel Lymphoma

 

More (Click Discussion Tab)

 

 

Small Bowel Lymphoma

General Considerations

  • Small bowel is second most frequent site of GI tract involvement by lymphoma.
    • Ileum is most common site of occurrence
      • Ileum has most lymphoid tissue
    • Duodenum is least frequent
  • Most cases of small bowel lymphoma are due to non-Hodgkin’s lymphoma
  • Mesenteric involvement by lymphoma may occur by
    • Direct extension from bowel
    • Indirectly by displacement due to mass effect

    MORE . . .

     


    .

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