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Updated: Feb 17, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
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[Misty mesentery : Mesenteric panniculitis and associated processes].
1Institut für Röntgendiagnostik, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland. lukas.beyer@ukr.de.
Der Radiologe
|December 10, 2017
Summary
Sclerosing mesenteritis (SM) presents diverse symptoms and imaging findings, posing diagnostic challenges. Recognizing "red flags" and considering malignancy in ambiguous cases is crucial for accurate diagnosis.
Area of Science:
- Gastroenterology
- Radiology
- Pathology
Background:
- Sclerosing mesenteritis (SM) and mesenteric panniculitis are rare mesenteric conditions.
- These disorders present significant clinical and imaging diagnostic challenges.
Purpose of the Study:
- To introduce a systematic nomenclature for sclerosing mesenteritis.
- To address typical symptoms, imaging findings, and differential diagnoses of SM.
Main Methods:
- Review article synthesizing current knowledge on SM.
- Focus on clinical presentation, radiological characteristics, and diagnostic criteria.
Main Results:
- SM encompasses subtypes like mesenteric lipodystrophy and retractile mesenteritis, exhibiting heterogeneous clinical and imaging features.
- Typical radiological signs such as "misty mesentery" and "fat halo" are not specific.
- The association between SM and malignancy is debated, necessitating further investigation in uncertain cases.
Conclusions:
- Diagnosis of SM requires careful consideration of imaging "red flags" indicating atypical features.
- Differential diagnosis for ambiguous SM imaging should include malignant diseases, requiring exclusion.
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