EURORAD ESR

Case 14380

Unexpected findings during MR enterography surveillance in a patient with Peutz-Jeghers syndrome

Author(s)
Chourmouzi D, Kalogeropoulou L, Papadopoulou E, Potsi S, Moumtzouoglou A, Drevelegkas A

AHEPA University Hospital,
Aristotle University of Thessaloniki,
Greece, Radiology;
Mitr. Moschonision 69
55131 Thessaloniki, Greece;
Email:lyd_kal@hotmail.com
 
Patient
female, 22 year(s)
 
 
  • Figure 1
    Photo

    Mucocutaneous pigmented lesions in the oral cavity (arrowheads) and lower lip (arrows).

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: MR; Procedure: History; Special Focus: Pathology;
     
     
  • Figure 2
    MRI findings

    (a), (c) Coronal Balanced GE: stomach and small bowel polyps and a large polyp in the caecum, (b), (d) Ultrafast GE post contrast: polyp and abnormally thickened small bowel enhancement corresponding to diffuse...

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: MR; Procedure: Colonography MR; Special Focus: Pathology;
     
     
  • Figure 3
    Thickening of the bowel wall

    Coronal Balanced GE: the cecal and stomach polyps as well as abnormally thickened small bowel wall corresponding to diffuse micropolyposis.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Colonography MR; Special Focus: Pathology;
     
     
  • Figure 4
    Enhancement on the coronal plane
     

    Coronal Ultra fast GE image: the caecal and stomach polyps as well as abnormally thickened small bowel wall corresponding to diffuse micropolyposis.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Colonography MR; Special Focus: Pathology;

    Coronal Ultra fast GE post contrast image showing enhancement of the cecal (arrows) and stomach (arrowheads) polyps as well as enhancement of abnormally thickened small bowel wall corresponding to diffuse...

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Colonography MR; Special Focus: Pathology;
     
     
  • Figure 5
    Polyp contrast enhancement on an axial plane
     

    Axial Balanced GE at the level of the caecum, showing a large polyp (arrows).

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Colonography MR; Special Focus: Pathology;

    Axial Ultra fast GE post contrast image showing multiple enhanced polyps of the stomach (arrowheads).

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Colonography MR; Special Focus: Pathology;

    Axial Ultra fast GE post contrast image showing enhanced polyps of the caecum (arrows).

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Colonography MR; Special Focus: Pathology;
     
     
Mucocutaneous pigmented lesions in the oral cavity (arrowheads) and lower lip (arrows).
 
(a), (c) Coronal Balanced GE: stomach and small bowel polyps and a large polyp in the caecum, (b), (d) Ultrafast GE post contrast: polyp and abnormally thickened small bowel enhancement corresponding to diffuse micropolyposis.
 
Coronal Balanced GE: the cecal and stomach polyps as well as abnormally thickened small bowel wall corresponding to diffuse micropolyposis.
 
Coronal Ultra fast GE image: the caecal and stomach polyps as well as abnormally thickened small bowel wall corresponding to diffuse micropolyposis.
 
Coronal Ultra fast GE post contrast image showing enhancement of the cecal (arrows) and stomach (arrowheads) polyps as well as enhancement of abnormally thickened small bowel wall corresponding to diffuse micropolyposis.
 
Axial Balanced GE at the level of the caecum, showing a large polyp (arrows).
 
Axial Ultra fast GE post contrast image showing multiple enhanced polyps of the stomach (arrowheads).
 
Axial Ultra fast GE post contrast image showing enhanced polyps of the caecum (arrows).
 
 
 
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