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British Journal of Radiology (2003) 76, 22-25
© 2003 British Institute of Radiology
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CT findings in patients with familial Mediterranean fever during an acute abdominal attack

R Zissin, MD1, V Rathaus, MD1, G Gayer, MD2, M Shapiro-Feinberg, MD1 and M Hertz, MD2

1 Department of Diagnostic Imaging, Sapir Medical Center, Kfar Saba 44281 and 2 Department of Diagnostic Imaging, Chaim Sheba Medical Center, Tel Hashomer, Tel Aviv, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel



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  		Figure 1. A 31-year-old man with known familial Mediterranean fever presented with abdominal pain, nausea and vomiting. Contrast-enhanced CT at the mid-abdomen shows engorged mesenteric vessels with a thickened mesenteric fold (white arrow).

 


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  		Figure 2. A 22-year-old man with known familial Mediterranean fever presented with fever, lower abdominal pain and tenderness. (a) Contrast enhanced CT scan at the upper abdominal level shows engorged mesenteric vessels and slightly enlarged mesenteric lymph nodes (small arrows). An enlarged retroperitoneal lymph node is also demonstrated. (b) Contrast enhanced CT a scan at the pelvic level shows slight infiltration of the intra-abdominal fat with higher attenuation than the uninvolved peritoneal fat (arrowheads), thickening of the parietal peritoneum anteriorly (arrow) and some mural thickening of the small bowel loop (small arrows), compatible with focal mild peritonitis.

 


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  		Figure 3. A 45-year-old woman with known familial Mediterranean fever presented with epigastric pain. Contrast enhanced CT shows omental infiltration (arrowhead), engorged mesenteric vessels and a small amount of ascites in both paracolic gutters.

 


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  		Figure 4. A 21-year-old woman with known familial Mediterranean fever presented with low grade fever, right lower quadrant pain, nausea and diarrhoea. Contrast enhanced CT shows a slightly distended, fluid filled appendix in transverse section (arrowhead), compatible with acute appendicitis. At surgery this diagnosis was confirmed.

 




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