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CT appearance of diffuse mesenteric edema.

P M Silverman, M E Baker, C Cooper

    Journal of Computer Assisted Tomography
    |January 1, 1986
    PubMed
    Summary
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    Computed tomography (CT) can identify diffuse mesenteric edema, a condition often missed by other imaging methods. Key CT findings include increased mesenteric fat density and poor vessel definition, aiding diagnosis in patients with conditions like hypoalbuminemia or venous thrombosis.

    Area of Science:

    • Radiology
    • Gastroenterology
    • Medical Imaging

    Background:

    • Assessing mesenteric pathology is challenging with clinical exams and standard radiography.
    • Gastrointestinal contrast studies often underestimate the extent of mesenteric disease.
    • Computed tomography (CT) has been used for mesenteric abnormalities, primarily malignant or inflammatory.

    Purpose of the Study:

    • To describe the characteristic computed tomography (CT) appearance of diffuse mesenteric edema.
    • To identify key CT findings for diagnosing diffuse mesenteric edema.

    Main Methods:

    • Retrospective review of CT scans from 14 patients with diffuse mesenteric edema.
    • Analysis of CT findings including mesenteric fat density, vessel definition, and associated edema.

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    Main Results:

    • Characteristic CT findings included increased mesenteric fat density and poor definition of segmental mesenteric vessels.
    • Relative sparing of retroperitoneal fat and presence of subcutaneous edema were also noted.
    • Underlying causes in the 14 patients included hypoalbuminemia (11), superior mesenteric vein thrombosis (2), and cirrhosis (1).

    Conclusions:

    • CT provides characteristic imaging findings for diffuse mesenteric edema.
    • These findings aid in confident diagnosis, especially when other methods are insufficient.
    • Diffuse mesenteric edema on CT is associated with hypoalbuminemia, venous thrombosis, and cirrhosis.