Mesenteric panniculitis - a rare disorder: radiological features

Year 2019, Volume: 5 Issue: 4, 663 - 666, 04.07.2019

Ghanshyam Dev Anshita Gupta Mohd Ilyas

https://doi.org/10.18621/eurj.411289

Cited By: 1

Abstract

Objectives:
The
main objective of this study was to assess the key  computed tomographic features of various types
of mesenteric panniculitis and to assess their etiology.

Methods: In
this retrospective study, the radiological scans of seven patients were evaluated,
the computed tomographic features and etiology were assessed. The Coulier's
criteria were used for the radiological inclusion of a patient as a case of
mesenteric panniculitis.

Results: Four
of the patients had a history of some procedure or surgery performed 6 weeks to
six months before presenting with panniculitis. Two of the seven cases were
idiopathic while the seventh case presented after an episode of pyonephrosis.
Mesentric panniculitis is one of the broad range of disorders that may result
in imaging finding of misty mesentry on computed tomography. The key computed
tomography finding seen in all these cases was 
regional increase in mesenteric fat density that was seen at abdominopelvic
computed tomography.

Conclusion: Computed tomography has a particular
picture in the cases of mesenteric panniculitis and forms one of the most
sensitive non-invasive modality of investigation in the diagnosis of mesenteric
panniculitis. 

Keywords

Mesenteric panniculitis, computed tomography, fibrosis

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