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CASE 1
Female, 69 yrs old
C.C: abdominal pain(onset: 5 days ago)
Lab finding: non-specific
PMHx: nonspecific
Arterial phase
Portal phase
Case summary
Ileocecal wall and three short segmental
ileal wall thickening with bowel dilatatio
n.
Homogeneous wall enhancement on por
tal phase.
No perienteric infiltration of fat.
Rt omental infiltration and nodules.
No ascites or LN enlargement.
Differential diagnosis
Lymphoma Lymphoma
Metastasis Metastasis
Differential Possibility
diagnosis
Crohns disease Low possibility due to no typical finding, such as
mesnteric side ulceration, no pseudosacculation, no
fistula formation, no comb sign, no fibrofatty mesenteric
change, no mural stratification
Lymphoma Low possibility due to significant obstruction sign, no
significant lymph node enlargement
Our case
Multifocal signet ring cell carcinoma in cecal and ileum
CASE 2
Female, 31 years old
C.C: 2004 Crohns disease .
2006 , F/U .
fever, abdominal pain .
CRP 59.7mg/L
Aug 5, 2015
Case summary
Current
Multiloculated abscesses adjacent to
thickened distal ileal loop, involving appendix tip.
Severe pelvic fat infiltration.
Multiple enlarged lymph nodes at ileocolic chain.
Past
Multisegmental asymmetric wall thickening
with hyperenhancement in distal ileum.
Comb sign, pseudodiverticulum of small bowel.
Prominent inflammatory stricture at distal ileal loop.
Differential diagnosis
DDx. 1. Active Crohns disease with
complicated abscesses formation.