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Magnetic resonance enterography: the test of choice in diagnosing intestinal "zebras".

Kumar AS, Coralic J, Vegeler R, Kolli K, Liang J, Estep A, Chudzinski AP, McFadden JD - Case Rep Gastrointest Med (2015)

Bottom Line: At our institution magnetic resonance enterography (MRE) has become an increasingly reliable tool in the difficult-to-diagnose or difficult-to-monitor patient.In this retrospective case series, we discuss four patients with four rare intestinal disorders that were successfully diagnosed using MRE after failing to be diagnosed using more routine technologies, such as CT scans and flexible sigmoidoscopies.With the discussion of these four cases we demonstrate that MRE is a useful diagnostic modality in patients whose surveillance is difficult or to diagnose rare colorectal disease phenomena, colloquially referred to as "zebras."

View Article: PubMed Central - PubMed

Affiliation: Section of Colon and Rectal Surgery, Department of Surgery, MedStar Washington Hospital Center, Washington, DC 20010, USA ; Department of Surgery, MedStar Washington Hospital Center, Washington, DC 20010, USA.

ABSTRACT
Small bowel tumors and other rare intestinal disorders are often exceedingly difficult to identify. Even cutting-edge technologies, such as push enteroscopy and capsule endoscopy, can fail to determine the cause of a patient's symptoms. At our institution magnetic resonance enterography (MRE) has become an increasingly reliable tool in the difficult-to-diagnose or difficult-to-monitor patient. In this retrospective case series, we discuss four patients with four rare intestinal disorders that were successfully diagnosed using MRE after failing to be diagnosed using more routine technologies, such as CT scans and flexible sigmoidoscopies. With the discussion of these four cases we demonstrate that MRE is a useful diagnostic modality in patients whose surveillance is difficult or to diagnose rare colorectal disease phenomena, colloquially referred to as "zebras."

No MeSH data available.


Related in: MedlinePlus

Low power of inflammatory fibroid polyp (5x). There is fibrovascular proliferation with edematous and myxoid background.
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fig10: Low power of inflammatory fibroid polyp (5x). There is fibrovascular proliferation with edematous and myxoid background.

Mentions: The patient had an inflammatory and edematous fibroepithelial polyp on final pathology (Figures 9 and 10). At the time of paper preparation, the patient is doing well with no complaints.


Magnetic resonance enterography: the test of choice in diagnosing intestinal "zebras".

Kumar AS, Coralic J, Vegeler R, Kolli K, Liang J, Estep A, Chudzinski AP, McFadden JD - Case Rep Gastrointest Med (2015)

Low power of inflammatory fibroid polyp (5x). There is fibrovascular proliferation with edematous and myxoid background.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4321082&req=5

fig10: Low power of inflammatory fibroid polyp (5x). There is fibrovascular proliferation with edematous and myxoid background.
Mentions: The patient had an inflammatory and edematous fibroepithelial polyp on final pathology (Figures 9 and 10). At the time of paper preparation, the patient is doing well with no complaints.

Bottom Line: At our institution magnetic resonance enterography (MRE) has become an increasingly reliable tool in the difficult-to-diagnose or difficult-to-monitor patient.In this retrospective case series, we discuss four patients with four rare intestinal disorders that were successfully diagnosed using MRE after failing to be diagnosed using more routine technologies, such as CT scans and flexible sigmoidoscopies.With the discussion of these four cases we demonstrate that MRE is a useful diagnostic modality in patients whose surveillance is difficult or to diagnose rare colorectal disease phenomena, colloquially referred to as "zebras."

View Article: PubMed Central - PubMed

Affiliation: Section of Colon and Rectal Surgery, Department of Surgery, MedStar Washington Hospital Center, Washington, DC 20010, USA ; Department of Surgery, MedStar Washington Hospital Center, Washington, DC 20010, USA.

ABSTRACT
Small bowel tumors and other rare intestinal disorders are often exceedingly difficult to identify. Even cutting-edge technologies, such as push enteroscopy and capsule endoscopy, can fail to determine the cause of a patient's symptoms. At our institution magnetic resonance enterography (MRE) has become an increasingly reliable tool in the difficult-to-diagnose or difficult-to-monitor patient. In this retrospective case series, we discuss four patients with four rare intestinal disorders that were successfully diagnosed using MRE after failing to be diagnosed using more routine technologies, such as CT scans and flexible sigmoidoscopies. With the discussion of these four cases we demonstrate that MRE is a useful diagnostic modality in patients whose surveillance is difficult or to diagnose rare colorectal disease phenomena, colloquially referred to as "zebras."

No MeSH data available.


Related in: MedlinePlus