Intussusception due a small bowel lymphoma

Case contributed by Dr MohammadTaghi Niknejad

Presentation

28 Y/O female with recent severe weight loss and anemia .

Patient Data

Age: 28
Gender: Female

Diffuse intestinal wall thickening is seen at proximal of small bowel. Bowel-within-bowel appearance is noted at left lower quadrant which is called as target sign on axial images. There is also multiple mesenteric lymphadenopathies.

Annotated image

Annotated images demonstrating the target sign and coronal / sagittal equivalent. 

Case Discussion

The findings of CT are compatible with ileoileal intussusception in 28 Y/O female with small bowel lymphoma.

The appearance of intussusception is characteristic and depends on the imaging plane and where along the bowel images are obtained : 

Gastrointestinal neoplasm are the most common cause of intussusception in adults1.

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Case information

rID: 21161
Case created: 7th Jan 2013
Last edited: 19th Nov 2015
Inclusion in quiz mode: Included

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