Man 70yo
with epigastric pain. Ultrasound of abdomen detected one hypoechoic mass like a cyst # 4.9cm near SMA.
US 1= longitudinal scan at epigastric
area.
US 2 = CDI: this mass is near SMA.
US 3 = crossed scanning= this mass is placed over the head of pancreas in relation
with celiac artery and vein.
US 4= some small lymph nodes near the
big anesthetic mass.
MSCT CE=
CT 1 : crossed
section this mass over the artery and vein.
CT 2: the pancreas is normal.
CT 3: frontal section of this intramesenteric mass near SMA and vein with some lymph nodes in mesentery.
Endoscopy gastric and colon are normal, blood
test and all cancer markers are normal
Laparotomy for biopsy= many nodes in mesentery.
Microscopic with histobiochemistry is follicular B CELL LYMPHOMA.
SUMMARY : MANY LYMPH NODES IN MESENTERY WITH TYPICAL APPEARANCE HYPOECHOIC PATTERN LOOKED LIKE A CYST,THE MOST COMMON IS LYMPHOMA.
Reference : MEDIC ULTRASOUND case 452 : Castleman disease.
Reference : MEDIC ULTRASOUND case 452 : Castleman disease.
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