Cavitary mesenteric lymph node syndrome

Case contributed by Levon Davtyan
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 65 years
Gender: Male
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+ portal
venous phase
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Info

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.

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