Prevalence and clinical correlates of mesenteric panniculitis in urinary stone disease

Yıl 2025, Cilt: 50 Sayı: 4, 1084 - 1091, 22.12.2025

Mehmet Eren Öztürk , Şevket Kahraman , Ahmet Yalçın , Mukadder Sunar

https://doi.org/10.17826/cumj.1749647

Öz

prevalence of mesenteric panniculitis in patients with urinary system calculi and identify factors, such as hydronephrosis and calculus location, that might be associated with the presence of mesenteric panniculitis.
Materials and Methods: In this retrospective observational study, the prevalence of mesenteric panniculitis was determined in 692 patients with urolithiasis using non-contrast-enhanced computed tomography imaging between 2017 and 2020. The grade of hydronephrosis and the level of urinary calculi were recorded for each patient, and statistical analysis was performed to assess the link between these features and mesenteric panniculitis.
Results: The prevalence of mesenteric panniculitis in patients with urolithiasis was 6.35% and it was associated with the presence of hydronephrosis. It was more common in patients who had both ureterolithiasis and nephrolithiasis with no statistically significant difference regarding in age, gender, or the presence of either only nephrolithiasis or only ureterolithiasis.
Conclusion: Mesenteric panniculitis is more common in patients with both ureterolithiasis and nephrolithiasis and can be easily diagnosed with non-contrast computed tomography imaging. Because the mesentery and urinary system share a common lymphatic drainage system, increased lymphatic drainage due to hydronephrosis has been shown to contribute to the development of mesenteric panniculitis.

Anahtar Kelimeler

Mesenteric panniculitis , ureterolithiasis , nephrolithiasis , computed tomography

Üriner taş hastalığında mezenterik pannikülitin prevalansı ve klinik belirleyicileri

Öz

Amaç: Bu çalışmanın amacı, üriner sistem taşları olan hastalarda mezenterik pannikülitin prevalansını belirlemek ve hidronefroz ve taşın yeri gibi mezenterik pannikülitin varlığıyla ilişkili olabilecek faktörleri tanımlamaktır.
Gereç ve Yöntem: Bu retrospektif gözlemsel çalışmada, 2017 ile 2020 yılları arasında kontrastsız bilgisayarlı tomografi görüntüleme kullanılarak ürolitiyazisli 692 hastada mezenterik pannikülit prevalansı belirlenmiştir. Her hasta için hidronefroz derecesi ve üriner taşların seviyesi kaydedilmiş ve bu özellikler ile mezenterik pannikülit arasındaki bağlantıyı değerlendirmek için istatistiksel analiz yapılmıştır.
Bulgular: Ürolitiyazisli hastalarda mezenterik pannikülit prevalansı %6,35 idi ve hidronefroz varlığı ile ilişkiliydi. Üreterolitiazis ve nefrolitiazis olan hastalarda daha yaygındı, ancak yaş, cinsiyet (veya sadece nefrolitiazis veya sadece üreterolitiazis varlığı açısından istatistiksel olarak anlamlı bir fark yoktu.
Sonuç: Mezenterik pannikülit, hem üreterolitiyazis hem de nefrolitiyazis bulunan hastalarda daha yaygındır ve kontrastsız bilgisayarlı tomografi görüntüleme ile kolayca teşhis edilebilir. Mezenter ve üriner sistem ortak bir lenfatik drenajı paylaştığından, hidronefroza bağlı lenfatik drenajın artması mezenterik pannikülit gelişimine katkıda bulundugu gösterilmiştir.

Anahtar Kelimeler

Mezenterik pannikülit , üreterolitiazis , nefrolitiazis , bilgisayarlı tomografi

Kaynakça

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