Mesenteric panniculitis

Case contributed by Dr Bruno Di Muzio

Presentation

Patient being treated for lymphoma with fever and abdominal pain.

Patient Data

Age: 60
Gender: Female
CT

CT Abdomen and pelvis

CT scan shows mesenteric panniculitis as well-circumscribed, inhomogeneous fatty mass displaying higher attenuation than normal retroperitoneal fat.

Case Discussion

Mesenteric panniculitis is a rare disorder characterised by a chronic nonspecific inflammation involving the adipose tissue of the bowel mesentery. Although it is still unclear, autoimmune response to unknown sources and ischaemia of the mesentery have been proposed as pathogenetic mechanisms 1.

An association of mesenteric panniculitis and malignancy, mainly lymphoma, was previously indicated in the literature1.

 

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Case information

rID: 14057
Case created: 20th Jun 2011
Last edited: 30th May 2017
Inclusion in quiz mode: Included

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