Presentation
Abdominal pain.
Patient Data
Age: 65 years
Gender: Male
From the case:
Cavitary mesenteric lymph node syndrome






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Multiple mesenteric cystic lymph nodes are noted up to 2 cm (measured in short axial dimension).
The spleen is markedly atrophic.
There are no visible pathologically thickened walls of the large and small bowels.
Case Discussion
These radiological features, including multiple cavitary mesenteric lymph nodes with an atrophic spleen, are consistent with cavitary mesenteric lymph node syndrome in coeliac disease.
After a CT investigation, the patient was recommended for an endoscopic investigation, where coeliac disease was confirmed by biopsy.