Left upper quadrant pain of short duration.
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- segmental misty mesentery, predominantly confined to the jejunal segment with associated enlarged mesenteric lymph nodes
- corresponding jejunal loops are normal in caliber
- no mesenteric vascular occlusion
- unremarkable rest of the abdomen, apart from left simple renal cortical cysts
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. All differentials for misty mesentery needs to be taken into consideration in this patient.
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