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Lymphoma, Terminal Ileum

Vivek David, MD
Steven E Seltzer, MD

June 3, 1994

Presentation

A patient with a history of lymphoma presents with abdominal pain.

Imaging Findings

CT Scans of the Abdomen and Pelvis

Computed tomography demonstrates nonobstructing ileocolic intussusception. There appears to be a soft tissue mass at the lead point of this intussusception, with the total lead point measuring approximately 4 x 5 cm.

Diagnosis

Lymphoma involving the terminal ileum with intussusception.

Discussion

This case illustrates typical CT findings of an intussusception. One can see the terminal ileum (containing barium) in the center of the mass, shown by medium-length arrow. The ileum is surrounded by mesenteric fat, shown by shortest arrow. The next layer is the cecum (containing barium), shown by the longest arrow. (Arrows)

Surgery confirmed the existence of a lymphomatous mass at the lead point of the intussusception. Most intussusceptions in adults are aused by an intestinal mass, usually a malignant tumor.


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