Mesenteric panniculitis

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 55 years
Gender: Male
ct

Smudging of the fat planes is seen surrounding the superior mesenteric vessels and their branches within the root of the small bowel mesentery, accompanied by several prominent mesenteric lymph- nodes.
The prostate gland is mildly enlarged. 

Case Discussion

Features on CT scan are most consistent with mesenteric panniculitis, which is an uncommon idiopathic disorder characterized by chronic non-specific inflammation involving the adipose tissue of the bowel mesentery.

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