Cavitary mesenteric lymph node syndrome

Case contributed by Levon Davtyan
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 65 years
Gender: Male

Multiple mesenteric cystic lymph nodes are noted up to 2 cm (measured in short axial dimension).

The spleen is markedly atrophic.

There are no visible pathologically thickened walls of the large and small bowels.

Case Discussion

These radiological features, including multiple cavitary mesenteric lymph nodes with an atrophic spleen, are consistent with cavitary mesenteric lymph node syndrome in celiac disease.

After a CT investigation, the patient was recommended for an endoscopic investigation, where celiac disease was confirmed by biopsy.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.