Department of Radiology, VMMC & Safdarjung Hospital New Delhi-110029, India
Received Date: November 24, 2015 Accepted Date: November 30, 2015 Published Date: December 07, 2015
Citation: Ray D, Gupta R, Thukral BB (2015) Disseminated Gastrointestinal Polyposis on Multidetector CT Enteroclysis. J Hepatol Gastroint Dis 1:i103. doi:10.4172/2475-3181.1000i103
Copyright: © 2015 Ray D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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A 35-year-old male presented with chronic digestive complaints referred to our department for contrast CT enteroclysis study of the abdomen. Multidetector CT enteroclysis study was done after nasojejunal intubation and administration of oral (neutral) intravenous contrast.
The study reveals multifocal, irregular, enhancing soft tissue lesion along peritoneal surface wilt associated scalloping of liver margin and ascites (Figure 1A). There were multiple enhancing nodular intraluminal polyps starting from pylorus of stomach.
There were also nodular enhancing deposits on omental surface (Figure 1B). Irregularly marinated, enhancing nodular lesion was seen over omental surface, invading anterior abdominal wall muscle layer.
Ileo-colic intussusception was seen with enhancing soft tissue along intussuscepted segment of bowel (Figure 2A). It was long segment intussusception with polyp at lead paint of intussusception. Jejunum and ileal segment of bowel were diffusely showing multiple variable sized polyps. Soft tissue deposits were also seen in retroperitoneum (Figure 2B).
Coronal reformatted images showed better visualization and characterization of polyposis. Polyps were not only varying in sizes but were sessile to pedunculated. Deposit on peritoneal surface better seen it coronal images mainly it right subdiaphragmatic and pelvic region.
Peritoneal deposit in pelvic region were relatively larger it size as compared to cranial lesions. Ascites was extending from subdiaphragmatic region to pelvic cavity (Figure 3).
So in conclusion, multiple variable sized polyps, extending from pylorus of stomach to distal ileum will long segment ileo-colic intussusception, multiple deposits and ascites were the CT enteroclysis finding histopathological examination reveals adenocarcinomatous changes. So final diagnosis of disseminated gastrointestinal polyposis with adenocarcinoma was concluded .