Abstract
Hodgkin’s disease of the mesenteric lymphnode presenting as a mesenteric mass is an unusual clinical presentation. Due to the rarity of this clinical presentation, the diagnosis is seldom thought of. Radiological imaging studies play an important role in arriving at the right diagnosis. Mesenteric lymphomas can have a characteristic radiological appearance on CT imaging which is known as the ‘Sandwich sign’. Herein we present a case of mesenteric Hodgkin’s disease which mimicked a gastrointestinal stromal tumour. An accurate pre operative diagnosis helps in avoiding unnecessary surgical interventions and related morbidity.
Keywords: Hodgkin’s lymphoma, mesentery, RS cell, Sandwich sign
References
1. Miller TP, Byrne GE, Jones SE. Mistaken clinical and pathologic diagnoses of Hodgkin’s disease: a Southwest Oncology Group study. Cancer Treat Rep 1982;66:645–651.
2. Gupta D, Sharma A, Dwary A, Kark AK. Hodgkin lymphoma involving ascending colon and mesenteric lymphnodes: A rare entity. Indian J Cancer. 2009 Apr-Jun;46(2):175-6.
3. Petros JG, Argy O. Hodgkin's disease in the mesenteric lymph nodes in a patient with colon carcinoma. Mt Sinai J Med. 1990 Nov;57(6):368-70.
4. Mueller PR, Ferrucci JT Jr, Harbin WP, Kirkpatrick RH, Simeone JF, Wittenberg J. Appearance of lymphomatous involvement of the mesentery by ultrasonography and body computed tomography: the "sandwich sign". Radiology. 1980 Feb;134(2):467-73.
5. Lien WC, Huang SP, Liu KL, Chang JH, Lai TI, Liu YP et al. The sandwich sign of non lymphomatous origin. J Clin Ultrsound. 2009 May;37(4):212-4
Corresponding Author
Dr Indu M
No: 785, JJ hospital Anna Nagar, Madurai-625020, Tamil Nadu, India
Email- This email address is being protected from spambots. You need JavaScript enabled to view it., Phone number- 09739138336
DOI: http://dx.doi.org/10.18535/jmscr/v3i9.34
