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Sclerosing Mesenteritis.

M L De Rooij1, B S M Ter Rahe, H J Voerman

  • 1Departments of Internal Medicine, Ziekenhuis Amstelland, AM, Amstelveen. Department of Radiology, VU Medical Center, Amsterdam.. info@ubiquitypress.com.

JBR-BTR : Organe De La Societe Royale Belge De Radiologie (SRBR) = Orgaan Van De Koninklijke Belgische Vereniging Voor Radiologie (KBVR)
|November 6, 2018
PubMed
Summary
This summary is machine-generated.

A patient with a history of solitary fibrous tumors developed abdominal symptoms, revealing a pancreatic tumor with ascites and lymphadenopathy. Imaging confirmed the tumor

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Area of Science:

  • Gastroenterology and Oncology
  • Diagnostic Imaging

Background:

  • A 55-year-old male presented with unexplained weight loss, abdominal pain, distension, and diarrhea.
  • Past medical history significant for a benign solitary fibrous tumor of the neck.
  • Initial examination revealed a distended abdomen; blood work was normal.

Purpose of the Study:

  • To investigate the cause of the patient's abdominal symptoms and characterize the detected pancreatic mass.
  • To document the diagnostic process and imaging findings.

Main Methods:

  • Abdominal ultrasonography to identify the abdominal mass.
  • Computed Tomography (CT) scan of the abdomen for detailed tumor and lymph node assessment.
  • Repeat CT scan post-therapy to evaluate treatment response.

Main Results:

  • Ultrasonography detected a 6.7 cm pancreatic tumor with ascites and retroperitoneal lymphadenopathy.
  • CT scan provided further details on tumor extent and nodal involvement.
  • Repeat CT scan was performed following therapeutic intervention.

Conclusions:

  • The case highlights the importance of thorough investigation in patients with unexplained abdominal symptoms, even with a history of seemingly unrelated tumors.
  • Multimodal imaging, including ultrasound and CT, is crucial for diagnosing and staging abdominal malignancies.
  • Further management and outcomes depend on the specific diagnosis and therapeutic response.