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Updated: Feb 4, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Sclerosing mesenteritis: a comprehensive clinical review.
Michael S Green1, Rajiv Chhabra1, Hemant Goyal2
1Department of Gastroenterology, University of Missouri Kansas City (UMKC) School of Medicine, Saint Luke's Hospital, Kansas City, MO, USA.
Sclerosing mesenteritis, a rare condition affecting the mesentery, presents with diverse symptoms and uncertain causes. This review aims to increase physician awareness of its diagnosis, etiology, and management.
Area of Science:
- Gastroenterology
- Rare Diseases
- Abdominal Imaging
Background:
- Sclerosing mesenteritis is a rare condition with <1% prevalence, encompassing mesenteric panniculitis, retractile mesenteritis, and mesenteric lipodystrophy.
- Its etiology is uncertain, with suspected links to trauma, autoimmune disorders, surgery, and malignancy.
- The condition presents with varied symptoms, often abdominal pain, complicating diagnosis.
Purpose of the Study:
- To provide a literature overview on the diagnosis, etiology, and management of sclerosing mesenteritis.
- To enhance physician awareness of this rare and complex abdominal condition.
Main Methods:
- Literature review of studies on sclerosing mesenteritis.
- Synthesis of information regarding diagnostic approaches, etiological factors, and treatment strategies.
Main Results:
- Sclerosing mesenteritis presents a diagnostic challenge due to its broad symptom spectrum.
- Treatment varies from surgical intervention for obstruction to immunosuppressive therapy for pain.
Conclusions:
- Increased physician awareness is crucial for timely diagnosis and appropriate management of sclerosing mesenteritis.
- Further research is needed to elucidate the etiology and optimize treatment protocols for this rare disease.
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