Magnetic Resonance Enterography: The Test of Choice in Diagnosing Intestinal “Zebras”
Summary of the four patients.
|#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|