Mesenteric panniculitis

Case contributed by Ahmed Abdrabou
Diagnosis almost certain


Abdominal pain and constipation followed by gradual loss of weight.

Patient Data

Age: 65 years
Gender: Male

Increased density of the mesentery seen surrounding the mesenteric vessels with the appearance of fat halo sign. Also the mesentery exerts positive mass effect by displacing the surrounding bowels. The patient had also colonic diverticulosis.

Case Discussion

Mesentric panniculitis or sclerosing mesenteritis is non-specific inflammation of the mesentry which affects elderly people results in non specific abdominal pain and weight loss. Typically there is preservation of fat around the mesentric vessels on CT results in fat rign sign. The disease is usually self limiting the patient only receive supportive treatment.

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