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Mesenteric panniculitis: report of two cases

S H Ng1, S F Ko, H F Wong

  • 1Department of Diagnostic Radiology, Chang Gung Medical College, Taipei, Taiwan, R.O.C.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|April 1, 1994
PubMed
Summary

Mesenteric panniculitis, a rare inflammatory condition, presents with abdominal pain. Recognizing computed tomography (CT) features aids diagnosis, potentially avoiding extensive surgery.

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Area of Science:

  • Gastroenterology
  • Radiology
  • Pathology

Background:

  • Mesenteric panniculitis is a rare inflammatory condition affecting mesenteric fat of unknown cause.
  • Diagnosis typically relies on histopathology, often after surgical exploration.

Observation:

  • Two cases of pathologically confirmed mesenteric panniculitis are presented.
  • Patients exhibited abdominal pain and palpable masses.
  • Computed tomography (CT) revealed distinct fatty masses in the mesocolon and at the root of the mesentery.

Findings:

  • CT demonstrated a well-defined, heterogeneous, fat-density mass in one patient.
  • In the second patient, CT showed a fatty mass encasing mesenteric vessels.

Implications:

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  • Computed tomography (CT) imaging can reveal characteristic features of mesenteric panniculitis.
  • Early recognition of CT findings may facilitate diagnosis and prevent unnecessary surgical interventions.