Mohd Ilyas, Ghanshyam Dev, Anshita Gupta

Mesenteric panniculitis - a rare disorder: radiological features

Objectives: The main objective of this study was to assess the key computed tomographic features of varioustypes of mesenteric panniculitis and to assess their etiology.Methods: In this retrospective study, the radiological scans of seven patients were evaluated, the computedtomographic features and etiology were assessed. The Coulier's criteria were used for the radiological inclusionof 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 monthsbefore presenting with panniculitis. Two of the seven cases were idiopathic while the seventh case presentedafter an episode of pyonephrosis. Mesentric panniculitis is one of the broad range of disorders that may resultin imaging finding of misty mesentry on computed tomography. The key computed tomography finding seenin all these cases was regional increase in mesenteric fat density that was seen at abdominopelvic computedtomography.Conclusion: Computed tomography has a particular picture in the cases of mesenteric panniculitis and formsone of the most sensitive non-invasive modality of investigation in the diagnosis of mesenteric panniculitis.

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