Presentation
Chronic upper abdominal pain.
Patient Data
There is hyper-echoic mass-like lesion surrounding the mesenteric vessels in the mid-line of the abdominal cavity.
There is a well-defined mesenteric mass-like lesion surrounded by fatty stranding in the root of the superior mesenteric vessels associated with sub-centimetric short-axis mesenteric lymph nodes along with the separation of bowel loops.
Opacification of mesenteric vessels and no abnormal bowel enhancement.
The blue arrow = fatty mesenteric mass-like lesion.
The yellow arrow = intervening mesenteric vessels.
Both are well illustrated in abdominal ultrasound and abdominal enhanced CT scan.
Case Discussion
Mesenteric panniculitis most commonly appears as a fatty mass lesion in the small bowel mesentery with surrounding fatty stranding and mesenteric lymph nodes, it is also non-specific which may be related to malignancy, systemic condition or recent surgery.
It also can be suspected by abdominal ultrasound.
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