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Non-Hodgkins Lymphoma (Large B-cell) of the proximal small bowel

Kirkpatrick ADK - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Non-Hodgkins Lymphoma (Large B-cell) of the proximal small bowel

History: Active duty soldier with three week history of nausea, vomiting, and epigastric abdominal pain while deployed in Iraq.

Findings: Focal wall thickening (11mm) of a segment of jejunum in the left upper quadrant. This segment of jejunum is also dilated with a maximum diameter of 5.3 cm with retained contrast and an air-fluid level. Also noted is surrounding lymphadenopathy and peritoneal fat stranding, the largest mesenteric lymphnode measuring 1.3cm in its shortest diameter.

Ddx: <i>Lymphoma <i>Adenocarcinoma <i>Carcinoid tumor <i>Metastases

Dxhow: Excisional biopsy proven diagnosis, B-cell Non-Hodgkin Lymphoma of the small bowel

Exam: No significant physical exam findings.

No MeSH data available.


Dilated loop of jejunum in upper left quadrant with thickening of jejunal wall and enlarged mesenteric lymphnodes.
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MPX1495_synpic23462: Dilated loop of jejunum in upper left quadrant with thickening of jejunal wall and enlarged mesenteric lymphnodes.


Non-Hodgkins Lymphoma (Large B-cell) of the proximal small bowel

Kirkpatrick ADK - MedPix

Dilated loop of jejunum in upper left quadrant with thickening of jejunal wall and enlarged mesenteric lymphnodes.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1495&req=5

MPX1495_synpic23462: Dilated loop of jejunum in upper left quadrant with thickening of jejunal wall and enlarged mesenteric lymphnodes.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Non-Hodgkins Lymphoma (Large B-cell) of the proximal small bowel

History: Active duty soldier with three week history of nausea, vomiting, and epigastric abdominal pain while deployed in Iraq.

Findings: Focal wall thickening (11mm) of a segment of jejunum in the left upper quadrant. This segment of jejunum is also dilated with a maximum diameter of 5.3 cm with retained contrast and an air-fluid level. Also noted is surrounding lymphadenopathy and peritoneal fat stranding, the largest mesenteric lymphnode measuring 1.3cm in its shortest diameter.

Ddx: <i>Lymphoma <i>Adenocarcinoma <i>Carcinoid tumor <i>Metastases

Dxhow: Excisional biopsy proven diagnosis, B-cell Non-Hodgkin Lymphoma of the small bowel

Exam: No significant physical exam findings.

No MeSH data available.