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Sclerosing mesenteritis: imaging findings in 17 patients
J M Sabaté1, S Torrubia, J Maideu
1Department of Diagnostic Radiology, Hospital de Sant Pau, Universitat Autònoma de Barcelona, Spain.
AJR. American Journal of Roentgenology
|March 4, 1999
Summary
Radiologic findings can help diagnose sclerosing mesenteritis, a condition with two variants. Key signs like the "fat ring" and tumoral pseudocapsule aid in diagnosis and treatment planning.
Area of Science:
- Radiology
- Gastroenterology
- Pathology
Background:
- Sclerosing mesenteritis is a rare idiopathic inflammatory condition affecting the mesentery.
- It can mimic malignancy, posing diagnostic challenges.
Purpose of the Study:
- To evaluate the radiologic findings associated with sclerosing mesenteritis.
- To identify specific signs that suggest its diagnosis.
Main Methods:
- Review of radiologic imaging (CT, MRI) in patients with histopathologically confirmed sclerosing mesenteritis.
- Correlation of imaging findings with clinical and pathological data.
Main Results:
- Sclerosing mesenteritis exhibits two distinct radiologic variants.
- Characteristic signs include the "fat ring" sign and a tumoral pseudocapsule.
- Radiologic features aid in determining the extent of the disease.
Conclusions:
- Sclerosing mesenteritis is a single entity with varied radiologic presentations.
- Specific radiologic signs can strongly suggest the diagnosis in the correct clinical context.
- Imaging is crucial for guiding surgical and therapeutic interventions.