Metastatic oesophageal carcinoma presenting as small intestinal ischaemia: imaging findings.
We report a patient who presented with small intestinal ischaemia due to metastatic mesenteric disease from an oesophageal carcinoma. Enteroclysis suggested the diagnosis of small intestinal ischaemia, which was found at laparotomy to be due to compression of mesenteric veins by a nodal mass at the root of the small intestinal mesentery. Although this phenomenon has been described particularly in patients with carcinoid tumours, we believe that mesenteric venous ischaemia resulting from spread to the mesentery from an extra-abdominal primary neoplasm is extremely rare.
Traill
Z C
ZC
Department of Radiology, John Radcliffe Hospital, Oxford OX3 9DU, UK.
Nolan
D J
DJ
D001466:Barium Sulfate; D003287:Contrast Media; D004938:Esophageal Neoplasms / Q000473:pathology*; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply* / Q000000981:diagnostic imaging; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology*; D008207:Lymphatic Metastasis; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D011859:Radiography
D003287:Contrast Media; D001466:Barium Sulfate