Research Article
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Mesenteric panniculitis: can venous anatomy and malignancy be a trigger cause?

Year 2021, Volume 7, Issue 5, 509 - 514, 04.09.2021
https://doi.org/10.18621/eurj.838822

Abstract

Objectives: To investigate whether portal vein (PV), splenic vein (SV), superior mesenteric vein (SMV) diameters and portomesenteric angle (PMA) may play a role in the etiology of mesenteric panniculitis (MP). To investigate relationship between MP and malignancy.

Methods: We included 70 patients with MP and 70 patients age, gender, sagittal abdominal diameter randomly matched control group, retrospectively.

Results: We found slightly higher PV and SMV diameter and slightly lower SV diameter in MP patients compared with control group. But these results were not statistically significant (p1 = 0.321 and p2 = 0.147, p1 = 0.540 and p2 = 0.185, p1= 0.216 and p2 = 0.617, for two observers respectively). We found higher PMA in MP patients compared with control group but this difference is not statistically significant (p1 = 0.252 and p2 = 0.366, for two observers). Twenty three (32.9%) of 70 patients diagnosed MP have underlying malignancy while 17 (24.3%) of 70 control subject were coexisted malignancy. But this difference is not statistically significant (p = 0.262). Interobserver agreement was excellent in terms of SMV and SV diameters and PMA measurements (ICC were 0.927, 0.911 and 0.965 respectively), good for PV diameters (ICC was 0.884).

Conclusions: Study results show that MP is not associated with PV, SMV and PMA. Contrary to some studies, there is no relationship between MP and malignancy.

References

  • 1. 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.
  • 2. Sharma P, Yadav S, Needham CM, Feuerstadt P. Sclerosing mesenteritis: a systematic review of 192 cases. Clin J Gastroenterol 2000;10:103-111.
  • 3. Seo BK, Ha HK, Kim AY, Kim TK, Kim MJ, Byun JH et al. Segmental misty mesentery: Analysis of CT features and primary causes. Radiology 2003;226:86-94.
  • 4. Sahin A, Artas H, Eroglu Y, Tunc N, Demirel U, Bahcecioglu IH et al. An overlooked potentially treatable disorder: idiopathic mesenteric panniculitis. Med Princ Pract 2017;26:567-72.
  • 5. Kipfer RE, Moertel CG, Dahlin DC. Mesenteric lipodystrophy. Ann Intern Med 1974;80:582-8.
  • 6. Gögebakan Ö, Albrecht T, Osterhoff MA, Reimann A. Is mesenteric panniculitis truely a paraneoplastic phenomenon? A matched pair analysis. Eur J Radiol 2013;82:1853-9.
  • 7. Protin-Catteau L, Thiefin G, Barbe C, Jolly D, Soyer P, Hoeffel C. Mesenteric panniculitis: review of consecutive abdominal MDCT examinations with a matched-pair analysis. Acta Radiol 2016;57:1438-44.
  • 8. Coulier B. Mesenteric panniculitis. Part 2: prevalence and natural course: MDCTprospective study. JBR-BTR 2011;94:241-6.
  • 9. Canyigit M, Koksal A, Akgoz A, Kara T, Sarisahin M, Akhan O. Multidetector-row computed tomography findings of sclerosing mesenteritis with associateddiseases and its prevalence. Jpn J Radiol 2011;29:495-502.
  • 10. Nakatani K, Nakamoto Y, Togashi K. FDG-PET/CT assessment of misty mesentery: feasibility for distinguishing viable mesenteric malignancy from stable conditions. Eur J Radiol 2013;82:e380-5.
  • 11. Halligan S, Plumb A, Taylor S. Mesenteric panniculitis: systematic review of crosssectional imaging findings and risk of subsequent malignancy. Eur Radiol 2016;26:4531-7.
  • 12. Soumerai S, Kirkland WG, McDonnell WV, Schanz A. Nodular mesenteritis: report of a case simulating carcinoma of the sigmoid colon and analysis of its histologic profile. Dis Colon Rectum 1976;19:448-52.
  • 13. Pemberton J, Comfort MW, Fair E, Zaslow B. Intestinal lipodystrophy (Whipple’s disease). Surg Gynecol Obstet 1947;85:85-91.

Year 2021, Volume 7, Issue 5, 509 - 514, 04.09.2021
https://doi.org/10.18621/eurj.838822

Abstract

References

  • 1. 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.
  • 2. Sharma P, Yadav S, Needham CM, Feuerstadt P. Sclerosing mesenteritis: a systematic review of 192 cases. Clin J Gastroenterol 2000;10:103-111.
  • 3. Seo BK, Ha HK, Kim AY, Kim TK, Kim MJ, Byun JH et al. Segmental misty mesentery: Analysis of CT features and primary causes. Radiology 2003;226:86-94.
  • 4. Sahin A, Artas H, Eroglu Y, Tunc N, Demirel U, Bahcecioglu IH et al. An overlooked potentially treatable disorder: idiopathic mesenteric panniculitis. Med Princ Pract 2017;26:567-72.
  • 5. Kipfer RE, Moertel CG, Dahlin DC. Mesenteric lipodystrophy. Ann Intern Med 1974;80:582-8.
  • 6. Gögebakan Ö, Albrecht T, Osterhoff MA, Reimann A. Is mesenteric panniculitis truely a paraneoplastic phenomenon? A matched pair analysis. Eur J Radiol 2013;82:1853-9.
  • 7. Protin-Catteau L, Thiefin G, Barbe C, Jolly D, Soyer P, Hoeffel C. Mesenteric panniculitis: review of consecutive abdominal MDCT examinations with a matched-pair analysis. Acta Radiol 2016;57:1438-44.
  • 8. Coulier B. Mesenteric panniculitis. Part 2: prevalence and natural course: MDCTprospective study. JBR-BTR 2011;94:241-6.
  • 9. Canyigit M, Koksal A, Akgoz A, Kara T, Sarisahin M, Akhan O. Multidetector-row computed tomography findings of sclerosing mesenteritis with associateddiseases and its prevalence. Jpn J Radiol 2011;29:495-502.
  • 10. Nakatani K, Nakamoto Y, Togashi K. FDG-PET/CT assessment of misty mesentery: feasibility for distinguishing viable mesenteric malignancy from stable conditions. Eur J Radiol 2013;82:e380-5.
  • 11. Halligan S, Plumb A, Taylor S. Mesenteric panniculitis: systematic review of crosssectional imaging findings and risk of subsequent malignancy. Eur Radiol 2016;26:4531-7.
  • 12. Soumerai S, Kirkland WG, McDonnell WV, Schanz A. Nodular mesenteritis: report of a case simulating carcinoma of the sigmoid colon and analysis of its histologic profile. Dis Colon Rectum 1976;19:448-52.
  • 13. Pemberton J, Comfort MW, Fair E, Zaslow B. Intestinal lipodystrophy (Whipple’s disease). Surg Gynecol Obstet 1947;85:85-91.

Details

Primary Language English
Subjects Radiology, Nuclear Medicine, Medical Imaging
Journal Section Original Articles
Authors

Mehmet Ali GÜLTEKİN (Primary Author)
Department of Radiology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey
0000-0001-7311-6969
Türkiye

Publication Date September 4, 2021
Application Date December 10, 2020
Acceptance Date February 23, 2021
Published in Issue Year 2021, Volume 7, Issue 5

Cite

EndNote %0 The European Research Journal Mesenteric panniculitis: can venous anatomy and malignancy be a trigger cause? %A Mehmet Ali Gültekin %T Mesenteric panniculitis: can venous anatomy and malignancy be a trigger cause? %D 2021 %J The European Research Journal %P -2149-3189 %V 7 %N 5 %R doi: 10.18621/eurj.838822 %U 10.18621/eurj.838822

e-ISSN: 2149-3189 


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