Preview

Medical Visualization

Advanced search

Mesenteric chillous lymphangioma. Visualization features on opposed-phase MR images

https://doi.org/10.24835/1607-0763-2019-4-86-92

Abstract

Objective. We aimed to research abilities of magnetic resonance imaging (MRI) in determination of the contents of the cysts, including fat suspension.

Methods. MRI study of patient with mesenteric chylous lymphangioma and experimental MRI study of a fantom containing fat suspension were done.

Results. MRI study of patient revealed non organic abdominal cystic lesion with significant decrease of MR-signal intensity on out-of-phase GRE images. MRI imaging of fantom with fat suspension also showed low MR-signal intensity on out-of-phase images.

Conclusion. Opposed-phase GRE sequences can be used not only for determining high content intracellular fat in tissues, but for determining lipids in fat containing suspensions as well. Homogeneous decrease of signal intensity on out-of-phase images in extraorgan abdominal cystic lesion indicate its chylous character. That is why cystic lesion, presented in this article, most likely to be chylous cyst or mesenteric lymphangioma.

About the Authors

A. I. Gromov
Evdokimov Moscow State University of Medicine and Dentistry; Clinical hospital No.2 of “MEDSI group” Joint Stock Company
Russian Federation

Dr. of Sci. (Med.), Professor, Professor of Department of Radiology; Head of Radiology Department

2-Botkinski pr., 6/3, Moscow, 125284

Phone: +7-495-737-61-82 (42021)



A. V. Gorinov
Clinical hospital No.2 of “MEDSI group” Joint Stock Company
Russian Federation
Cand. of Sci. (Med.), radiologist


E. A. Galljamov
M. Sechenov First Moscow State Medical University (Sechenov University); Clinical hospital No.2 of “MEDSI group” Joint Stock Company
Russian Federation
Dr. of Sci. (Med.), Professor, Head of Department of sorgery


References

1. Huis M., Balija M., Lez C., Szerda F., Stulhofer M. Mesenteric cysts. Acta Med. Croatica. 2002; 56 (3): 119–124.

2. Pithawa A.K., Bansal A.S., Kochar S.P. Mesenteric cyst: A rare intra-abdominal tumour. Med. J. Armed Forces India. 2014; 70 (1): 79–82.

3. Arraiza Sarasa M., Ghai S., Metser U., Kennedy E., Vajpeyi R. A practical approach to cystic peritoneal masses and neoplasms: pearls and tips. Congress European Society of Radiology 2013. Electronic Presentation Online System (EPOS ™). Poster No: C-2522. https://doi.org/10.1594/ecr2013/C-2522

4. Morshed G., Zaki N.S. Intra-abdominal cystic lymphangiomas and mesenteric сysts and methods of excision. Merit Res. J. Med. and Med. Sci. 2017; 5 (11): 591–596.

5. Coluccio G., Fusaro M., Ponzio S., Ambu W., Tramontano R. Cisti linfatica del mesentere. Minerva Chirurgica. 1999; 54 (7–8): 519–522.

6. Candanedo-González F., Luna-Pérez P. Cystic lymph angioma of the mesentery. Clinical, radiological, and morphological analysis. Rev. Gastroenterol. Mex. 2000; 65 (1): 6–10.

7. Lee D.L., Madhuvrata P., Reed M.W., Balasubramanian S.P. Chylous mesenteric cyst: A diagnostic dilemma. Asian J. Surg. 2016; 39 (3): 182–186.

8. Merkle E.M., Nelson R.C. Dual Gradient-Echo In-Phase and Opposed-Phase Hepatic MR Imaging: A Useful Tool for Evaluating More Than Fatty Infiltration or Fatty Sparing. Radiographics. 2006; 26: 1409–1418.

9. Outwater E.K., Blasbalg R., Siegelman E.S., Vala M. Detec tion of lipid in abdominal tissues with opposedphase gradient-echo images at 1.5T: techniques and diagnostic importance. Radiographics. 1998; 18: 1465–1480.

10. Hoda A. El-Kareem A., El-Samie H.S., El-Ghany A. The value of added opposed/in phase MRI sequences in characterization of the focal vertebral bone marrow lesions in oncology patients. Egypt. J. Radiol. Nuclear Med. 2015: 46 (3): 727–732.

11. Oh E.S., Outwater E.K. The Utility of In-Phase/Opposed- Phase Imaging in Differentiating Malignancy from Acute Benign Compression Fractures of the Spine. Am. J. Neuroradiol. 2006; 27 (6): 1183–1188.


Review

For citations:


Gromov A.I., Gorinov A.V., Galljamov E.A. Mesenteric chillous lymphangioma. Visualization features on opposed-phase MR images. Medical Visualization. 2019;(4):86-92. (In Russ.) https://doi.org/10.24835/1607-0763-2019-4-86-92

Views: 2141


ISSN 1607-0763 (Print)
ISSN 2408-9516 (Online)