Editor's quiz: GI snapshot
ANSWER
| The first 150 words of the full text of this article appear below. |
From the question on page 922
The CT scan shows extensive retroperitoneal, portal and peri-pancreatic lymphadenopathy with cystic lesions in the spleen (see fig 1 of the question). Multiple low density infiltrative lesions were seen throughout the lumbar vertebrae. MRI demonstrates extensive mesenteric, small bowel mural (thick arrows), retroperitoneal (open arrows) and bony lesions (narrow arrows) that gave a high T2 and low T1 signal typical of lymphangiomas,1 2 but were heterogeneous in their appearance after contrast enhancement (fig 2 of the question).
Figure 1 Laparoscopic vision of a large, compressible (arrow) cyst.
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Figure 2 Histopathology of the wall of a cyst.
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A diagnostic laparoscopy revealed an abnormal segment of small bowel 70 cm from the ileocaecal valve. A large but compressible 20 cm cystic mass that contained chyle was present in the base of the small bowel mesentery obscuring the normal vascular architecture (fig 1). Histopathology revealed vascular tissue composed of
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Gut 2008 57: 922.[Extract] [Full Text] [PDF]
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