PMC5540458_01
(a) Skin with regional vasospasm; (b) opened heart, showing multiple small white metastases of a midgut NET.
CRIGM2017-9810194.001.jpg
PMC5540458_01_CRIGM2017-9810194.001.jpg
fig1
A pattern reminiscent of dermal livedo reticularis appeared (Figure 1) and a thoracic-abdominal contrast CT-scan revealed a massive and generalized arterial vasoconstriction with infarction of the kidneys, liver, and spleen (Figures 2 and 4).
Abdominal CT-scan. (a) Centralized perfusion with constricted peripheral intestinal arteries. (b) Reduced diameters of abdominal arteries. (A) Truncus coeliacus: 3 mm. (B) A. mesenterica sup.: 3 mm; aorta 15 mm.
CRIGM2017-9810194.002.jpg
PMC5540458_01_CRIGM2017-9810194.002.jpg
fig2
A pattern reminiscent of dermal livedo reticularis appeared (Figure 1) and a thoracic-abdominal contrast CT-scan revealed a massive and generalized arterial vasoconstriction with infarction of the kidneys, liver, and spleen (Figures 2 and 4).
Somatostatin receptor imaging with CT-scan (PET-CT) (a) showing extensive liver metastasis in the right liver lobe in 12/2011 and (b) additionally showing hydronephrosis.
CRIGM2017-9810194.003.jpg
PMC5540458_01_CRIGM2017-9810194.003.jpg
fig3
A DOTA-TOC-PET/CT demonstrated metastatic disease with a suspected ileal primary; see Figure 3.
3D reconstruction of the abdominal arteries showing the rarefication of the peripheral hepatic arteries. (A) Truncus coeliacus. (B) A. mesenterica sup. (C) Branch of the constricted hepatic artery.
CRIGM2017-9810194.004.jpg
PMC5540458_01_CRIGM2017-9810194.004.jpg
fig4
A pattern reminiscent of dermal livedo reticularis appeared (Figure 1) and a thoracic-abdominal contrast CT-scan revealed a massive and generalized arterial vasoconstriction with infarction of the kidneys, liver, and spleen (Figures 2 and 4).