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Mesenteric panniculitis - a rare disorder: radiological features

Year 2019, Volume: 5 Issue: 4, 663 - 666, 04.07.2019
https://doi.org/10.18621/eurj.411289

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. 

References

  • [1] Emory TS, Monihan JM, Carr NJ, Sobin LH. Sclerosing mesenteritis, mesenteric panniculitis and mesenteric lipodystrophy: a single entity? Am J Surg Pathol 1997;21:392-8.
  • [2] Hartz R, Stryker S, Sparberg M, Poticha SM. Mesenteric tumefactions. Am Surg 1980;46:525-9.
  • [3] Ogden WW, Bradburn DM, Rives JD. Mesenteric panniculitis: review of 27 cases. Ann Surg 1965;161:864-73.
  • [4] Delgado Plasencia L, Rodríguez Ballester L, López-Tomassetti EM, Hernández Morales A, Carrillo Pallarés A, Hernández Siverio N. [Mesenteric panniculitis: experience in our center]. Rev Esp Enferm Dig 2007;99:291-7. [Article in Spanish]
  • [5] Daskalogiannaki M, Voloudaki A, Prassopoulos P, Magkanas E, Stefanaki K, Apostolaki E, et al. CT evaluation of mesenteric panniculitis: prevalence and associated diseases. AJR Am J Roentgenol 2000;174:427-31.
  • [6] Patel N, Saleeb SF, Teplick SK. General case of the day. Mesenteric panniculitis with extensive inflammatory involvement of the peritoneum and intraperitoneal structures. Radiographics 1999;19:1083-5.
  • [7] Shah AN, You CH. Mesenteric lipodystrophy presenting as an acute abdomen. South Med J 1982;75:1025-6.
  • [8] Horton KM, Lawler LP, Fishman EK. CT findings in sclerosing mesenteritis (panniculitis): spectrum of disease. Radiographics 2003;23:1561-7.
  • [9] Kram S, Pardi DS, Schaffner JA, Smyrk TC. Sclerosing mesenteritis: clinical features, treatment, and outcome in ninety-two patients. Clin Gastroenterol Hepatol 2007;5:589-96; quiz 523-4.
  • [10] Coulier B. Mesenteric panniculitis. Part 1: MDCT--pictorial review. JBR-BTR 2011;94:229-40.
  • [11] Filippone A, Cianci R, Di Fabio F, Storto ML. Misty mesentry: a pictorial review of multidetector - row CT findings. Radiol Med 2011;116:351-65.
  • [12] Sabate J, Torrubia S, Maideu J. Sclerosing mesentritis: imaging findings in 17 patients. AJR 1999;172:625-9.
  • [13] Akram S, Pardi DS, Schaffner JA, Smyrk TC. Sclerosing mesentritis: clinical features, treatment and outcome in ninety-two patients. Clin Gastroenterol Hepatol 2007;5:589-96.
Year 2019, Volume: 5 Issue: 4, 663 - 666, 04.07.2019
https://doi.org/10.18621/eurj.411289

Abstract

References

  • [1] Emory TS, Monihan JM, Carr NJ, Sobin LH. Sclerosing mesenteritis, mesenteric panniculitis and mesenteric lipodystrophy: a single entity? Am J Surg Pathol 1997;21:392-8.
  • [2] Hartz R, Stryker S, Sparberg M, Poticha SM. Mesenteric tumefactions. Am Surg 1980;46:525-9.
  • [3] Ogden WW, Bradburn DM, Rives JD. Mesenteric panniculitis: review of 27 cases. Ann Surg 1965;161:864-73.
  • [4] Delgado Plasencia L, Rodríguez Ballester L, López-Tomassetti EM, Hernández Morales A, Carrillo Pallarés A, Hernández Siverio N. [Mesenteric panniculitis: experience in our center]. Rev Esp Enferm Dig 2007;99:291-7. [Article in Spanish]
  • [5] Daskalogiannaki M, Voloudaki A, Prassopoulos P, Magkanas E, Stefanaki K, Apostolaki E, et al. CT evaluation of mesenteric panniculitis: prevalence and associated diseases. AJR Am J Roentgenol 2000;174:427-31.
  • [6] Patel N, Saleeb SF, Teplick SK. General case of the day. Mesenteric panniculitis with extensive inflammatory involvement of the peritoneum and intraperitoneal structures. Radiographics 1999;19:1083-5.
  • [7] Shah AN, You CH. Mesenteric lipodystrophy presenting as an acute abdomen. South Med J 1982;75:1025-6.
  • [8] Horton KM, Lawler LP, Fishman EK. CT findings in sclerosing mesenteritis (panniculitis): spectrum of disease. Radiographics 2003;23:1561-7.
  • [9] Kram S, Pardi DS, Schaffner JA, Smyrk TC. Sclerosing mesenteritis: clinical features, treatment, and outcome in ninety-two patients. Clin Gastroenterol Hepatol 2007;5:589-96; quiz 523-4.
  • [10] Coulier B. Mesenteric panniculitis. Part 1: MDCT--pictorial review. JBR-BTR 2011;94:229-40.
  • [11] Filippone A, Cianci R, Di Fabio F, Storto ML. Misty mesentry: a pictorial review of multidetector - row CT findings. Radiol Med 2011;116:351-65.
  • [12] Sabate J, Torrubia S, Maideu J. Sclerosing mesentritis: imaging findings in 17 patients. AJR 1999;172:625-9.
  • [13] Akram S, Pardi DS, Schaffner JA, Smyrk TC. Sclerosing mesentritis: clinical features, treatment and outcome in ninety-two patients. Clin Gastroenterol Hepatol 2007;5:589-96.
There are 13 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Ghanshyam Dev This is me 0000-0002-8230-7182

Anshita Gupta This is me 0000-0003-3049-4809

Mohd Ilyas 0000-0003-2030-8734

Publication Date July 4, 2019
Submission Date March 30, 2018
Acceptance Date October 6, 2018
Published in Issue Year 2019 Volume: 5 Issue: 4

Cite

AMA Dev G, Gupta A, Ilyas M. Mesenteric panniculitis - a rare disorder: radiological features. Eur Res J. July 2019;5(4):663-666. doi:10.18621/eurj.411289

e-ISSN: 2149-3189 


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