Malignant small bowel obstruction due to lymphoma

Case contributed by Michael P Hartung
Diagnosis certain

Presentation

Nausea, vomiting, abdominal pain.

Patient Data

Age: 40 years
Gender: Male

Focal thickening pancreas tail. Dilated proximal through mid small bowel with a transition point in the right lower quadrant, with circumferential soft tissue enhancement of the small bowel. Few borderline mesenteric lymph nodes. 

Obstructive mass indicated by the circle. 

Case Discussion

Patient proceeded to surgery which confirmed DLCBC lymphoma of the small bowel. The pancreas tail thickening was PET-avid on follow-up, indicating an additional site of disease. 

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