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CT patterns of mesenteric disease

N O Whitley, M E Bohlman, L P Baker

    Journal of Computer Assisted Tomography
    |June 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Computed tomography (CT) identified four patterns of mesenteric disease, including rounded, cake-like, ill-defined, and stellate masses. Ovarian carcinoma and non-Hodgkin's lymphoma showed the most frequent CT evidence of mesenteric involvement.

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    Area of Science:

    • Radiology
    • Gastroenterology
    • Oncology

    Background:

    • Mesenteric disease can manifest with diverse imaging findings.
    • Computed tomography (CT) is a key modality for evaluating abdominal pathologies.
    • Understanding CT patterns of mesenteric involvement aids diagnosis.

    Purpose of the Study:

    • To categorize and describe the computed tomography (CT) patterns of mesenteric disease.
    • To correlate CT findings with specific underlying pathologies.
    • To assess the frequency of mesenteric involvement in various malignancies.

    Main Methods:

    • Retrospective review of CT scans from 370 patients.
    • Inclusion of patients with primary diagnoses known to involve the mesentery.
    • Classification of mesenteric involvement into four distinct patterns: rounded, cake-like, ill-defined, and stellate masses.

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    Main Results:

    • Four patterns of mesenteric involvement were identified on CT: rounded, cake-like, ill-defined, and stellate.
    • Ovarian carcinoma (20/52) and non-Hodgkin's lymphoma (41/134) demonstrated the highest incidence of CT-visible mesenteric involvement.
    • Other malignancies showed varying incidences: colon carcinoma (8/68), pancreatic carcinoma (5/21), and leukemia (5/19).

    Conclusions:

    • CT visualization reveals distinct patterns of mesenteric disease.
    • Specific CT patterns can suggest underlying benign or malignant mesenteric lesions.
    • CT is valuable in detecting and characterizing mesenteric involvement in various oncologic and inflammatory conditions.