Cavitary mesenteric lymph node syndrome

Case contributed by Michał Jagodziński
Diagnosis almost certain

Presentation

Chronic diarrhea and malabsorption, weight loss, abdominal pain, anemia, and malnutrition.

Patient Data

Age: 65 years
Gender: Female

Initial CT

ct

CT study shows Jejunoileal fold pattern reversal, mild small bowel dilatation, mesenteric fat stranding, low attenuation lymphadenopathy, and splenic atrophy.

Follow-up

ct

The follow-up study after two years revealed slight regression of lymphadenopathy and mesenteric fat stranding, fat-fluid levels in some of the lymph nodes, discrete progression of splenic atrophy, similar jejunoileal fold pattern reversal, and mild small bowel dilatation.

Case Discussion

Here is a case of cavitary mesenteric lymph node syndrome in association with celiac disease that is confirmed by raised serum antibodies and positive biopsy findings.

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