Mesenteric panniculitis

Case contributed by Chris O'Donnell
Diagnosis probable

Presentation

Incidental finding on duplex ultrasound examination of the aorta for claudication.

Patient Data

Age: 80 years
Gender: Male
ultrasound

Echogenic mass in the root of the small bowel mesentery (anterior to the aorta) through which a normal appearing superior mesenteric artery passes (on duplex ultrasound)

ct

CT performed to evaluate the "mesenteric mass" seen on ultrasound. A well defined ovoid fatty mass encasing the mesenteric vessels (SMA/SMV), displacing adjacent small bowel (jejunal) loops.

Case Discussion

Mesenteric panniculitis is usually (but not always) asymptomatic.

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