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Ileal Ulcer Associated With a Large Bezoar Mimicking Malignancy on FDG PET/CT
Xia Ji1, Hui Dong2, Aisheng Dong3
1From the Department of Gastroenterology, The Second Affiliated Hospital, Jiaxing University, Jiaxing.
Abstract:
A 34-year-old woman presented with abdominal pain for 2 months. Abdominal CT revealed a large bezoar in the distal ileum with surrounding thickened ileal wall and enlarged mesentery lymph nodes. On FDG PET/CT, the thickened ileal wall and enlarged mesentery lymph nodes showed increased FDG uptake. Ileal malignancy with mesentery lymph node metastasis was suspected. The distal ileum and enlarged mesentery lymph nodes were removed. Benign ileal ulcer and mesentery reactive lymphoid hyperplasia were confirmed by histopathology.
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