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Mesenteric panniculitis: US and CT features

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Abstract

Mesenteric panniculitis is an aseptic inflammation of mesenteric fat. Before the age of ultrasonography (US) and computed tomography (CT), mesenteric panniculitis was rarely diagnosed, but today the disorder is more commonly encountered, often as an incidental imaging finding. Its exact cause remains unknown. This review illustrates the characteristic US and CT features of mesenteric panniculitis and discusses its differential diagnosis.

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References

  1. Daskalogiannaki M, Voloudaki A, Prassopoulos P et al (2000) CT evaluation of mesenteric panniculitis: prevalence and associated diseases. Am J Roentgenol 174:427–431

    CAS  Google Scholar 

  2. Kipfer RE, Moertel CG, Dahlin DC (1974) Mesenteric lipodystrophy. Ann Intern Med 80:582–588

    CAS  PubMed  Google Scholar 

  3. Sabate JM, Torrubia S, Maideu J, Franquet T, Monill JM, Pérez C (1999) Sclerosing mesenteritis: imaging findings in 17 patients. Am J Roentgenol 172:625–629

    CAS  Google Scholar 

  4. Koornstra JJ, van Olffen GH, van Noort G (1997) Retractile mesenteritis: to treat or not to treat. Hepatogastroenterology 44:408–410

    Google Scholar 

  5. Emory TS, Monihan JM, Carr NJ, Sobin LH (1997) Sclerosing mesenteritis, mesenteric panniculitis and mesenteric lipodystrophy: a single entity? Am J Surg Pathol 21:392–398

    Article  CAS  PubMed  Google Scholar 

  6. Horton KM, Lawler LP, Fishman EK (2003) CT findings in sclerosing mesenteritis (panniculitis): spectrum of disease. Radiographics 23:1561–1567

    PubMed  Google Scholar 

  7. Durst AL, Freund H, Rosenmann E, Birnbaum D (1977) Mesenteric panniculitis: review of the literature and presentation of cases. Surgery 81:203–211

    CAS  PubMed  Google Scholar 

  8. Harris RJ, van Stolk RU, Church JM, Karuvu MS (1994) Thoracic mesothelioma associated with abdominal mesenteric panniculitis. Am J Gastroenterol 89:2240–2242

    CAS  PubMed  Google Scholar 

  9. Goh J, Otridge B, Brady H, Breatnach E, Dervan P, MacMathuna P (2001) Aggressive multiple myeloma presenting as mesenteric panniculitis. Am J Gastroenterol 96:238–241

    CAS  PubMed  Google Scholar 

  10. Gaylis H, Isaacson C, Decker GA (1973) Mesenteric panniculitis presenting as abdominal aortic aneurysms. Surgery 74:626–630

    CAS  PubMed  Google Scholar 

  11. Seo BK, Ha HK, Kim AY et al (2003) Segmental misty mesentery: analysis of CT features and primary causes. Radiology 226:86–94

    PubMed  Google Scholar 

  12. Sato M, Ishida H, Konno K et al (2000) Mesenteric panniculitis: sonographic findings. Abdom Imaging 25:142–145

    Article  CAS  PubMed  Google Scholar 

  13. Sato M, Ishida H, Konno K et al (2002) Mesenteric lipoma: report of a case with emphasis on US findings. Eur Radiol 12:793–795

    Article  CAS  PubMed  Google Scholar 

  14. Valls C (2000) Fat-ring sign in sclerosing mesenteritis. Am J Roentgenol 174:259–260

    CAS  Google Scholar 

  15. Mindelzun RE, Jeffrey RB, Lane MJ, Silverman PM (1996) The misty mesentery on CT: differential diagnosis. Am J Roentgenol 167:61–65

    CAS  Google Scholar 

  16. Healy JC, Reznek RH (1998) The peritoneum, mesenteries and omenta: normal anatomy and pathological processes. Eur Radiol 8:886–900

    Article  CAS  PubMed  Google Scholar 

  17. Sheth S, Horton KM, Garland MR, Fishman EK (2003) Mesenteric neoplasms: CT appearance of primary and secondary tumors and differential diagnosis. Radiographics 23:457–473

    PubMed  Google Scholar 

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Correspondence to J. B. C. M. Puylaert.

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van Breda Vriesman, A.C., Schuttevaer, H.M., Coerkamp, E.G. et al. Mesenteric panniculitis: US and CT features. Eur Radiol 14, 2242–2248 (2004). https://doi.org/10.1007/s00330-004-2429-7

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  • DOI: https://doi.org/10.1007/s00330-004-2429-7

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