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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Mesenteric panniculitis: Radiological and clinical evaluation of 15 patients: A case series
Ramazan Saygin Kerimoğlu1, Süleyman Kargin2, Yusuf Tanrikulu3
1Department of Gastrointestinal Surgery, Health Sciences University, Konya City Hospital, Konya, Turkey.
Abstract:
The goal of our study was to compare the clinical findings, laboratory, and imaging results of 15 individuals with uncommon mesenteric panniculitis (MP) to the literature. A case series. The General Surgery Department of Konya City Hospital, Turkey, between January 2014 and December 2021. Patients who were followed up on and treated for MP in a tertiary university hospital's general surgery clinic. A total of 2361 patient computer tomography scans were evaluated, and archive records were used to compile data for 15 patients with MP. The patients' demographics, complaints, hospitalization requirements, therapy methods, laboratory, and radiographic characteristics were all analyzed. Abdominal pain was the most common complaint among the patients (80%). This was followed by nausea, vomiting (40%), chest pain (33%), and diarrhea (7%). Fat halo sign was seen in 8 patients due to mesenteric vascular involvement. In 5 patients, an image consistent with mesenteric adenitis >10 mm was found. Four patients exhibited a pseudo capsule appearance, and 2 had a mesenteric mass pushing on the intestinal loops. MP is a disease that should be considered in the differential diagnosis of patients who present to the emergency department with abdominal pain, as it will ensure that the patient receives the appropriate treatment and reduce the high rate of patients discharged with the diagnosis of nonspecific abdominal pain.
Insights
Mesenteric panniculitis (MP) is an uncommon condition presenting with abdominal pain. This case series highlights its diverse clinical and imaging findings, emphasizing its importance in differential diagnoses for abdominal pain.
Area of Science:
- Gastroenterology
- Radiology
- General Surgery
Background:
- Mesenteric panniculitis (MP) is a rare inflammatory condition affecting the mesentery.
- Accurate diagnosis and timely treatment are crucial for patient outcomes.
Purpose of the Study:
- To compare clinical, laboratory, and imaging findings of 15 MP patients with existing literature.
- To enhance the differential diagnosis of MP in patients presenting with abdominal pain.
Main Methods:
- Retrospective case series of 15 patients diagnosed with MP.
- Analysis of clinical data, laboratory results, and CT scan findings.
- Comparison of findings with a review of 2361 patient CT scans.
Main Results:
- Abdominal pain was the most frequent symptom (80%), followed by nausea/vomiting (40%).
- Imaging revealed characteristic findings like the 'fat halo sign' (n=8), mesenteric adenitis (n=5), pseudo capsule (n=4), and mesenteric mass (n=2).
Conclusions:
- Mesenteric panniculitis should be considered in the differential diagnosis for patients with abdominal pain.
- Early recognition of MP can lead to appropriate treatment and reduce misdiagnosis of nonspecific abdominal pain.
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