Abdominal lymphoma - with sandwich sign

Case contributed by Dr Dalia Ibrahim

Presentation

Abdominal pain

Patient Data

Age: 45 years
Gender: Male

Multiple retrocrural, mesenteric and retroperitoneal lymphadenopathy surround but do not occlude the mesenteric vessels and displace bowel loops but do not occlude them. 

Hepatosplenomegaly.

Right renal simple cortical cyst.

Aorto-iliac atherosclerotic calcification. 

Case Discussion

Biopsy proven case of lymphoma

Confluent lymphadenopathy on both sides of the mesenteric vessels gives rise to an appearance described as the sandwich sign

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