Magnetic Resonance Enterography: The Test of Choice in Diagnosing Intestinal “Zebras”

Table 1

Summary of the four patients.

Patients	Age/gender	Studies	MRE	Diagnosis	Treatment
#1	53/male	Endoscopies, small bowel enteroscopy, CT	Mass in the small bowel mesentery consistent with carcinoid	Carcinoid in the distal ileum with invasion into the mesentery	Exploratory laparotomy with resection
#2	34/male	Colonoscopies	Rectal lymphoma with sever but nonobstructing luminal narrowing	Rectal lymphoma in HIV patient	Chemo
#3	70/female	Enteroscopies, flexible sigmoidoscopy, capsule study	7 small bowel polyps	Recurrent Peutz-Jeghers	Exploratory laparotomy with excision of polyps
#4	64/female	CT abdomen/pelvis	Suspected edematous polyp as a leading point of intussusception and small bowel obstruction	Inflammatory fibroid polyp causing intussusception	Exploratory laparotomy with resection and primary anastomosis