Familial mediterranean fever CT scan: Difference between revisions
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**[[Terminal ileitis]] | **[[Terminal ileitis]] | ||
**Incidental [[ovarian cysts]] | **Incidental [[ovarian cysts]] | ||
**Ovarian [[dermoid cyst]] | **[[Ovarian]] [[dermoid cyst]] | ||
**Segmental [[renal infarct]] | **Segmental [[renal infarct]] | ||
**[[Bleeding]] from a ruptured [[renal cyst]] | **[[Bleeding]] from a ruptured [[renal cyst]] | ||
It is of particular attention that, [[FMF]] is associated with the acute [[abdominal]] attacks which must be differentiated from other [[Pathology|pathologies]] requiring [[surgeries]].<ref name="ZissinRathaus2003">{{cite journal|last1=Zissin|first1=R|last2=Rathaus|first2=V|last3=Gayer|first3=G|last4=Shapiro-Feinberg|first4=M|last5=Hertz|first5=M|title=CT findings in patients with familial Mediterranean fever during an acute abdominal attack|journal=The British Journal of Radiology|volume=76|issue=901|year=2003|pages=22–25|issn=0007-1285|doi=10.1259/bjr/32051823}}</ref> | It is of particular attention that, [[FMF]] is associated with the acute [[abdominal]] attacks which must be differentiated from other [[Pathology|pathologies]] requiring [[surgeries]].<ref name="ZissinRathaus2003">{{cite journal|last1=Zissin|first1=R|last2=Rathaus|first2=V|last3=Gayer|first3=G|last4=Shapiro-Feinberg|first4=M|last5=Hertz|first5=M|title=CT findings in patients with familial Mediterranean fever during an acute abdominal attack|journal=The British Journal of Radiology|volume=76|issue=901|year=2003|pages=22–25|issn=0007-1285|doi=10.1259/bjr/32051823}}</ref> | ||
*One study comparing [[CT scan]] findings of patients with [[FMF]] during an acute attack suggested the following findings on [[CT scan|CT imaging]] as the signs of [[peritoneal]] irritation due to [[FMF]] attacks: | *One study comparing [[CT scan]] findings of patients with [[FMF]] during an [[Acute (medicine)|acute]] attack suggested the following findings on [[CT scan|CT imaging]] as the [[Medical sign|signs]] of [[peritoneal]] [[irritation]] due to [[FMF]] attacks: | ||
*[[Mesenteric]] [[Pathology|pathologies]] such as: | *[[Mesenteric]] [[Pathology|pathologies]] such as: | ||
** | **Edematous and hyperemic [[peritoneal]] folds and [[greater omentum]] with vascular markings | ||
**Engorged [[mesenteric]] vessels ± thickened [[mesenteric]] folds | **Engorged [[mesenteric]] [[Blood vessel|vessels]] ± thickened [[mesenteric]] folds | ||
*Enlarged [[mesenteric lymph nodes]] | *Enlarged [[mesenteric lymph nodes]] | ||
*Small amount of [[ascitic]] fluid | *Small amount of [[ascitic]] fluid |
Revision as of 16:48, 10 June 2019
Familial Mediterranean Fever Microchapters |
Differentiating Familial Mediterranean Fever from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]
Overview
There are no CT scan findings associated with familial Mediterranean fever. However, a CT scan may be helpful in the diagnosis of complications of this disease, which include splenomegaly, hepatomegaly, focal peritonitis, and etc.
CT scan
There are no CT scan findings associated with familial Mediterranean fever. However, a CT scan may be helpful in the diagnosis of complications of this disease, which include:[1]
- Splenomegaly
- Hepatomegaly
- Lymphadenopathy
- Focal peritonitis
- Peritoneal cysts
- Peritoneal fluid
- Other less common findings:
- Cavernous malformation of the splenic vein
- Terminal ileitis
- Incidental ovarian cysts
- Ovarian dermoid cyst
- Segmental renal infarct
- Bleeding from a ruptured renal cyst
It is of particular attention that, FMF is associated with the acute abdominal attacks which must be differentiated from other pathologies requiring surgeries.[2]
- One study comparing CT scan findings of patients with FMF during an acute attack suggested the following findings on CT imaging as the signs of peritoneal irritation due to FMF attacks:
- Mesenteric pathologies such as:
- Edematous and hyperemic peritoneal folds and greater omentum with vascular markings
- Engorged mesenteric vessels ± thickened mesenteric folds
- Enlarged mesenteric lymph nodes
- Small amount of ascitic fluid
References
- ↑ Aharoni, D.; Hiller, N.; Hadas-Halpern, I. (2000). "Familial Mediterranean fever: abdominal imaging findings in 139 patients and review of the literature". Abdominal Imaging. 25 (3): 297–300. doi:10.1007/s002610000006. ISSN 0942-8925.
- ↑ Zissin, R; Rathaus, V; Gayer, G; Shapiro-Feinberg, M; Hertz, M (2003). "CT findings in patients with familial Mediterranean fever during an acute abdominal attack". The British Journal of Radiology. 76 (901): 22–25. doi:10.1259/bjr/32051823. ISSN 0007-1285.