Familial mediterranean fever CT scan: Difference between revisions
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==Overview== | ==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. | 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== | ==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:<ref name="AharoniHiller2000">{{cite journal|last1=Aharoni|first1=D.|last2=Hiller|first2=N.|last3=Hadas-Halpern|first3=I.|title=Familial Mediterranean fever: abdominal imaging findings in 139 patients and review of the literature|journal=Abdominal Imaging|volume=25|issue=3|year=2000|pages=297–300|issn=0942-8925|doi=10.1007/s002610000006}}</ref> | 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:<ref name="AharoniHiller2000">{{cite journal|last1=Aharoni|first1=D.|last2=Hiller|first2=N.|last3=Hadas-Halpern|first3=I.|title=Familial Mediterranean fever: abdominal imaging findings in 139 patients and review of the literature|journal=Abdominal Imaging|volume=25|issue=3|year=2000|pages=297–300|issn=0942-8925|doi=10.1007/s002610000006}}</ref> | ||
*Splenomegaly | *[[Splenomegaly]] | ||
*Hepatomegaly | *[[Hepatomegaly]] | ||
*Lymphadenopathy | *[[Lymphadenopathy]] | ||
*Focal peritonitis | *Focal [[peritonitis]] | ||
*Peritoneal cysts | *[[Peritoneal cyst|Peritoneal cysts]] | ||
*Peritoneal fluid | *[[Peritoneal fluid]] | ||
*Other less common findings: | *Other less common findings: | ||
**Cavernous malformation of the splenic vein | **[[Cavernous malformation]] of the [[splenic vein]] | ||
**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 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 imaging as the signs of peritoneal irritation due to FMF attacks: | *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: | ||
*Mesenteric pathologies such as: | *[[Mesenteric]] [[Pathology|pathologies]] such as: | ||
**Oedematous and hyperemic peritoneal folds and greater omentum with vascular markings | **Oedematous and hyperemic [[peritoneal]] folds and [[greater omentum]] with vascular markings | ||
**Engorged mesenteric vessels ± thickened mesenteric folds | **Engorged [[mesenteric]] vessels ± thickened [[mesenteric]] folds | ||
*Enlarged mesenteric lymph nodes | *Enlarged [[mesenteric lymph nodes]] | ||
*Small amount of ascitic fluid | *Small amount of [[ascitic]] fluid | ||
==References== | ==References== | ||
Revision as of 15:44, 31 May 2019
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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:
- Oedematous 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.