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CT features of mesenteric panniculitis.

J M Mata1, L Inaraja, J Martin

  • 1Servicio de Radiodiagnostico y Medicina Nuclear, Hospital Germans Trias i Pujol, Barcelona, Spain.

Journal of Computer Assisted Tomography
|November 1, 1987
PubMed
Summary

Mesenteric panniculitis (MP) is an inflammatory condition of the abdominal fat. CT scans reveal characteristic fatty masses and sometimes calcifications, aiding in preoperative diagnosis.

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Area of Science:

  • Radiology
  • Gastroenterology
  • Pathology

Background:

  • Mesenteric panniculitis (MP) is a rare inflammatory condition affecting the mesenteric fat.
  • It is characterized by inflammation and fibrosis of the mesentery.
  • Understanding its imaging features is crucial for diagnosis.

Purpose of the Study:

  • To describe the computed tomography (CT) findings in patients diagnosed with mesenteric panniculitis.
  • To highlight the typical and atypical imaging presentations of MP.

Main Methods:

  • Retrospective review of CT scans from four patients with confirmed mesenteric panniculitis.
  • Analysis of imaging features, including location, morphology, and presence of calcifications.

Main Results:

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  • Three patients exhibited a fatty mass in the mesenteric root surrounding vessels without distortion.
  • One patient presented an unusual form of MP with radiologically visible calcifications.
  • Preoperative diagnosis was suggested in two of the four cases based on CT findings.

Conclusions:

  • CT is valuable in diagnosing mesenteric panniculitis, showing characteristic fatty mesenteric masses.
  • The presence of calcifications represents an atypical imaging feature of MP.
  • Radiological findings can aid in preoperative diagnosis, guiding clinical management.