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Mesenteritic panniculitis: detection by abdominal ultrasonography
1Servicio de Radiodiagnóstico. Hospital Santa María Nai. Complexo Hospitalario de Ourense. Spain.
Revista Espanola De Enfermedades Digestivas
|June 28, 2003
Summary
Abdominal sonography can detect mesenteric panniculitis by identifying thickened mesenteric fat around vessels. This imaging technique aids in diagnosis and potential biopsy guidance for this condition.
Area of Science:
- Radiology
- Gastroenterology
- Abdominal Imaging
Background:
- Mesenteric panniculitis is an inflammatory condition affecting the mesentery.
- Accurate and early detection is crucial for patient management.
Purpose of the Study:
- To outline the sonographic findings indicative of mesenteric panniculitis.
- To establish ultrasound as a viable tool for detecting this condition.
Main Methods:
- Retrospective analysis of 10 patients with sonographically detected mesenteric panniculitis.
- Diagnosis confirmed by computed tomography (CT) and, in one case, surgical biopsy.
- Evaluation of sonographic features including fat thickening, vessel appearance, and compressibility.
Main Results:
- Characteristic sonographic findings include thickened mesenteric fat, well-defined borders, and homogeneous or heterogeneous echotexture.
- Mesenteric vessels were visualized without distortion.
- Reduced compressibility of mesenteric tissue was observed.
Conclusions:
- Abdominal sonography can detect mesenteric panniculitis.
- The described sonographic features aid in diagnosis.
- Ultrasound can guide further diagnostic procedures, such as percutaneous biopsy.