A cause for concern? an asymptomatic mesenteric lesion
An aymptomatic 56-year-old man presented with a self-referred non-contrast computed tomography (CT) scan that showed an abnormality in the mesentery. There was no clinical indication for the CT scan.
Three years previously he had undergone radiotherapy and hormonal therapy for prostate cancer. His prostate specific antigen levels had remained normal and he was in good health.There was no clinical or biochemical abnormality. A repeat abdominal CT scan with contrast showed a 36 mm mass in the mesentery with an unusual whorled appearance suggesting malignant infiltration (fig 1) and multiple lesions in the liver suggestive of metastases. An ultrasound, however, showed these to be haemangiomas.
(2009). A cause for concern? an asymptomatic mesenteric lesion. Gut, 58(9), 1184-1185.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_med_haematol_oncol/8