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Clinical and radiological features of mesenteric panniculitis: a critical overview

Giuseppe Buragina1, Alberto Magenta Biasina, Gianpaolo Carrafiello

  • 1Università degli studi di milano. giuseppe.buragina@unimi.it.

Acta Bio-Medica : Atenei Parmensis
|January 8, 2020
PubMed

Insights

Mesenteric panniculitis is a rare inflammation of the mesenteric fat. This study reviews its imaging and clinical features, differential diagnoses, and associated conditions.

Area of Science:

  • Gastroenterology
  • Radiology
  • Pathology

Background:

  • Mesenteric panniculitis is a rare inflammatory condition affecting mesenteric adipose tissue.
  • Its etiology is unknown, but it's linked to cancer, trauma, surgery, autoimmune diseases, and obesity.
  • It presents as inflammatory or fibrotic (retractile) forms.

Purpose of the Study:

  • To present the imaging and clinical features of mesenteric panniculitis.
  • To highlight key radiological signs like the fat ring sign and pseudocapsula.
  • To discuss differential diagnoses and potential etiological associations.

Main Methods:

  • Review of imaging findings (radiology).
  • Analysis of clinical presentations.
  • Correlation with pathological findings and etiological factors.

Main Results:

  • Identified characteristic radiological signs: fat ring sign and pseudocapsula.
  • Detailed the clinical manifestations and varied associations of the condition.
  • Distinguished between inflammatory and fibrotic subtypes.

Conclusions:

  • Mesenteric panniculitis requires careful radiological and clinical evaluation for accurate diagnosis.
  • Understanding its associations is crucial for patient management.
  • Further research into etiology may improve treatment strategies.

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