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[Analysis of mesenteric thickening on computed tomography]
H Takano1, T Sekiya, K Miyakawa
1Department of Radiology, University of the Ryukyus School of Medicine.
Nihon Igaku Hoshasen Gakkai Zasshi. Nippon Acta Radiologica
|December 25, 1990
Summary
Computed Tomography (CT) imaging reveals two main types of mesenteric thickening: intra-mesenteric and surface thickening. This classification aids in diagnosing various gastrointestinal and mesenteric pathologies.
Area of Science:
- Radiology
- Gastroenterology
- Abdominal Imaging
Background:
- Computed Tomography (CT) is crucial for noninvasively evaluating gastrointestinal abnormalities, including mesenteric pathologies.
- Previous studies have described various CT appearances of mesenteric abnormalities but lacked detailed analysis of thickened mesentery.
Purpose of the Study:
- To analyze and categorize the distinct CT appearances of thickened mesentery.
- To improve the identification and understanding of mesenteric pathology through CT imaging.
Main Methods:
- Retrospective analysis of CT scans from 47 patients with mesenteric thickening.
- Classification of mesenteric thickening into two characteristic types based on imaging features.
Main Results:
- Identified two types of mesenteric thickening: Type I (Intra-mesenteric) and Type II (Mesenteric surface).
- Type I thickening was observed in 25 patients, associated with vascular obstruction, inflammatory disease, and edema.
- Type II thickening was observed in 22 patients, associated with peritonitis carcinomatosa, peritoneal mesothelioma, tuberculous peritonitis, and pseudomyxoma peritonei.
Conclusions:
- Two distinct CT patterns of mesenteric thickening exist: intra-mesenteric and surface thickening.
- Recognizing these patterns is vital for accurate diagnosis of diverse mesenteric diseases using CT.