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Radiology, Vol 134, 467-473, Copyright © 1980 by Radiological Society of North America

ARTICLES

Appearance of lymphomatous involvement of the mesentery by ultrasonography and body computed tomography: the "sandwich sign"

PR Mueller, JT Ferrucci Jr, WP Harbin, RH Kirkpatrick, JF Simeone and J Wittenberg

A characteristic appearance of lymphomatous involvement of the mesentery is demonstrated by ultrasonography and computed tomography. The presence of a lobulated confluent mass infiltrating the mesenteric leaves and encasing the superior mesenteric artery and veins producing a "sandwich-like" appearance is reported in seven patients with Hodgkin and non-Hodgkin lymphoma. Retroperitoneal adenopathy was present in all seven patients. In six, a correct prospective diagnosis was made and a major revision of therapeutic planning occurred. Laparotomy was deferred in three patients. The anatomy, pathophysiology, and clinical importance are detailed.


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