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Sclerosing mesenteritis, also known as mesenteric panniculitis or retractile mesenteritis , is an uncommon idiopathic disorder characterized by chronic non-specific inflammation involving the adipose tissue of the bowel mesentery. It is often considered in the spectrum of autoimmune disease 21.
Radiopaedia.org, the peer-reviewed collaborative radiology resource
Sclerosing mesenteritis, also known as mesenteric panniculitis or retractile mesenteritis , is an uncommon idiopathic disorder characterised by chronic non-specific inflammation involving the adipose tissue of the bowel mesentery. It is often considered in the spectrum of autoimmune disease 21.
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These findings are typical characteristics of mesenteric panniculitis with a fat ring sign. The mesenteric panniculitis is one of three subtypes of sclerosing mesenteritis. In this case, we use this term because of these CT findings and the absence of fibrosis.
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mesenteric panniculitis. when differentiating from the omentum, remember that the mesentery always has a bowel loop at its end. liposarcoma. peritoneal liposarcoma may resemble encapsulated omental infarction; thick enhancing septa are in favor of a liposarcoma 10
Classic imaging findings of mesenteric panniculitis, which is benign and typically does not result in clinical symptoms. This can be differentiated from more concerning mesenteric pathologies such as lymphoma, liposarcoma, or carcinoid tumors based on the characteristic appearance and lack of soft tissue.
Mesenteric adenitis is often a diagnosis of exclusion after 'more serious' etiologies have been ruled out. Definitive diagnosis at surgery is possible but is increasingly uncommon due to the ubiquity of modern imaging tools.
Mesenteric panniculitis is often detected incidentally. When symptomatic, it may be associated with other gastrointestinal symptoms like nausea and vomiting. In the absence of any history of inflammatory or iatrogenic nature, a majority of cases are idiopathic, as in this patient.