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Mesenteric panniculitis: US and CT features.

A C van Breda Vriesman1, H M Schuttevaer, E G Coerkamp

  • 1Department of Radiology, Rijnland Hospital, Simon Smitweg 1, Leiderdorp, The Netherlands.

European Radiology
|August 10, 2004
PubMed
Summary

Mesenteric panniculitis, an inflammation of mesenteric fat, is increasingly diagnosed using ultrasonography (US) and computed tomography (CT) as an incidental finding. This review details its imaging characteristics and differential diagnosis.

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Area of Science:

  • Gastroenterology and Radiology

Background:

  • Mesenteric panniculitis is a rare aseptic inflammation of the mesenteric fat.
  • Historically underdiagnosed due to limited imaging modalities.
  • Now more frequently identified, often as an incidental finding on imaging.

Purpose of the Study:

  • To review the characteristic ultrasonography (US) and computed tomography (CT) features of mesenteric panniculitis.
  • To discuss the differential diagnosis of this condition.

Main Methods:

  • Review of existing literature and imaging findings related to mesenteric panniculitis.
  • Analysis of characteristic US and CT appearances.

Main Results:

  • Mesenteric panniculitis presents specific, recognizable patterns on US and CT scans.

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  • Understanding these features aids in differentiating it from other abdominal pathologies.

    • Conclusions:

    • US and CT are crucial for diagnosing mesenteric panniculitis.
    • Familiarity with imaging findings improves diagnostic accuracy and guides further patient management.