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Updated: May 12, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Uncommon solitary mesenteric mass: mesenteric panniculitis
Abhishek Shah1, Dianbo Cao, Deepa Shah
1Department of Radiology, The First Hospital of Jilin University, Changchun, Jilin Province, 130021, China.
JNMA; Journal of the Nepal Medical Association
|April 18, 2013
Summary
Mesenteric panniculitis, a rare inflammatory condition of the mesentery, presents varied outcomes. This case highlights a solitary mass confirmed via histopathology, emphasizing the need for increased diagnostic awareness.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Mesenteric panniculitis is a rare, benign inflammatory condition affecting mesenteric fat with unknown etiology.
- Clinical outcomes vary widely, from spontaneous resolution to severe, life-threatening progression.
- Currently, no definitive treatment protocols are established for mesenteric panniculitis.
Observation:
- A 53-year-old female presented with chronic abdominal pain, distension, and early satiety.
- Abdominal CT revealed a 3.5cm x 2.8cm solitary, heterogeneous mesenteric mass.
- Exploratory laparotomy identified a yellowish-grey, gritty mass.
Findings:
- Histopathology of the resected specimen definitively diagnosed mesenteric panniculitis.
- The case illustrates a specific presentation of this rare disease.
Implications:
- Increased clinical awareness may facilitate earlier diagnosis of mesenteric panniculitis.
- This could potentially lead to less invasive diagnostic strategies.
- Optimal management approaches for this rare entity may be improved with greater recognition.
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