Year 2019, Volume 5, Issue 4, Pages 663 - 666 2019-07-04

Mesenteric panniculitis - a rare disorder: radiological features

Ghanshyam Dev [1] , Anshita Gupta [2] , Mohd Ilyas [3]

33 191

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. 

Mesenteric panniculitis, computed tomography, fibrosis
  • [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.
Primary Language en
Subjects Health Care Sciences and Services
Journal Section Original Articles
Authors

Orcid: 0000-0002-8230-7182
Author: Ghanshyam Dev (Primary Author)
Institution: Department of Radiodiagnosis, Govt. Medical College, Jammu, India
Country: India


Orcid: 0000-0003-3049-4809
Author: Anshita Gupta
Institution: Department of Radiodiagnosis, Govt. Medical College, Jammu, India
Country: India


Orcid: 0000-0003-2030-8734
Author: Mohd Ilyas
Institution: Department of Radiodiagnosis, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India
Country: India


Dates

Publication Date: July 4, 2019

EndNote %0 The European Research Journal Mesenteric panniculitis - a rare disorder: radiological features %A Ghanshyam Dev , Anshita Gupta , Mohd Ilyas %T Mesenteric panniculitis - a rare disorder: radiological features %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 4 %R doi: 10.18621/eurj.411289 %U 10.18621/eurj.411289