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

Year 2021, Volume: 7 Issue: 5, 509 - 514, 04.09.2021

Mehmet Ali Gültekin

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.

Keywords

Mesenteric panniculitis, Computed tomography, Portomesenteric angle, Malignancy

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