Mesenteric metastases of small bowel carcinoid
Updates to Case Attributes
Systems changed:
- Gastrointestinal
Updates to Study Attributes
There is a 2.8 x1. 5 cm size avidly enhancing mass with in the left side of the abdomen within the jejunal mesentery. It enhances uniformly and avidly with contrast. The lesion exhibits desmoplastic like reaction leading to a characteristic “spoke-like” appearance of mesenteric vessels. Due to demoplastic reaction adjacentjejunal bowel loops are angulated and retracted towards the lesion. Affected jejunal loops show focal dilatation and enhancement with significant thickening. No appreciable
calcifications within it.
Jejunal branch of SMA leading to the mass appears hypertrophied with increased perilesional
vascularity.
No wall thickening or obstruction of small bowel proximal to it.
There are multiple discrete and enhancing lymph nodes along the branches of SMA with
largest 9mm in SAD.
No focal liver lesions
Visualized lung bases are free of deposits