Presentation
Incidental finding on duplex ultrasound examination of the aorta for claudication.
Patient Data
Age: 80 years
Gender: Male
From the case:
Mesenteric panniculitis
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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)
From the case:
Mesenteric panniculitis
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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.