The diagnosis of neoplasms of the small intestine remains a difficult challenge owing to their nonspecific clinical presentation. CT is an efficient and contributive tool in their diagnosis and preoperative staging. Enabled by CT, the evaluation of the intramural and extramural portions of such tumors complements the mucosal analysis allowed by barium examination. Strict technical rules should be applied to minimize pitfalls mainly resulting from insufficient bowel opacification. Although characteristic appearances are rare, typical CT findings may suggest a specific diagnosis where lipomas and carcinoid tumors are concerned.
Lymphoma is one of the commonest primary malignancies of the small bowel.
Gastrointestinal tract haemorrhage is a relatively infrequent presenting feature or complication. We describe the use of repeated transcatheter embolization as the primary treatment in the control of recurrent haemorrhage from the small bowel in a patient with B-cell lymphoma. Few cases of transcatheter embolotherapy have been described in such situations. This form of treatment is a therapeutic option in those unfit for transcatheter vasoconstrictor infusion or surgery. Celiac sprue, or nontropical sprue, is associated with an increased incidence of digestive tract malignancy.