Incidentally Detected Mesenteric Panniculitis in Thorax CT Scans: Single-Institution Experience

Year 2024, Volume: 7 Issue: 2, 154 - 160, 30.06.2024

Demet Doğan Kağan Gökçe

Abstract

Objective: The aim of this study is to report the frequency of incidentally detected Mesenteric Panniculitis (MP) in the field of thoracic Computed Tomography (CT) and to emphasize the importance of examining upper abdomen sections.
Method: In this retrospective study, 300 females, and 414 males, a total of 714 adult patients, with a median age of 44 years (age range: 18-91) who underwent thoracic CT for benign reasons between March and August 2023 were included. Cases with MP were detected in upper abdominal sections in thorax CT. The cases were evaluated according to clinical, laboratory, and radiological findings.
Results: Ten patients (1.4%) with mesenteric panniculitis were detected in the upper abdominal sections of the thorax CT scan. Two of the patients were female and 8 were male. While the MP rate was 0.66% in female patients, it was 1.93% in male patients. There were no abdominal symptoms in 7 of the cases. In one of the other 3 patients, severe abdominal pain, nausea-vomiting, weakness, joint pain, fever, flank pain in one patient, fever, nausea-vomiting, and fatigue in one patient were present.
Conclusion: Careful evaluation of the upper abdominal images in thoracic CT scans results in the detection of MP, and early detection of associated abdominal diseases.

Keywords

Computed tomography, Mesenteric panniculitis, Abdominal pathology

Toraks BT Taramalarında Tesadüfen Tespit Edilen Mezenterik Pannikülit: Tek Merkez Deneyimi

Abstract

Amaç: Bu çalışmanın amacı toraks Bilgisayarlı Tomografi (BT) alanında tesadüfen tespit edilen Mezenterik Pannikülit (MP) sıklığını bildirmek ve üst batın kesitlerinin incelenmesinin önemini vurgulamaktır.
Yöntem: Retrospektif olarak yapılan bu çalışmaya Mart-Ağustos 2023 tarihleri arasında benign nedenlerle toraks BT çekilen ortanca yaşı 44 (yaş aralığı: 18-91) olan 300 kadın, 414'ü erkek toplam 714 yetişkin hasta dahil edildi. Toraks BT'de üst karın kesitlerinde MP'li olgular tespit edildi. Olgular klinik, laboratuvar ve radyolojik bulgulara göre değerlendirildi.
Bulgular: Toraks BT'sinde üst batın kesitlerinde 10 (%1,4) mezenterik pannikülit hastası tespit edildi. Hastaların 2'si kadın, 8'i erkekti. MP oranı kadın hastalarda %0,66 iken erkek hastalarda %1,93 idi. Vakaların 7'sinde herhangi bir karın semptomu yoktu. Diğer 3 hastanın birinde şiddetli karın ağrısı, bulantı-kusma, halsizlik, eklem ağrısı, ateş, yan ağrısı, bir hastada ateş, bulantı-kusma, yorgunluk mevcuttu.
Sonuç: Toraks BT taramalarında üst karın görüntülerinin dikkatli bir şekilde değerlendirilmesi MP'nin saptanmasını ve ilişkili karın hastalıklarının erken tespitini mümkün kılmaktadır.

Keywords

Bilgisayarlı tomografi, Mezenterik pannikülit, Karın patolojisi

Ethical Statement

Etik kurul onayı yüklendi

Supporting Institution

Yok

Thanks

Makalenin Yazımındaki desteklerinden dolayı Prof. Dr. Ahmet Midi'ye teşekkür ederiz

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