Mesenteric panniculitis

Case contributed by A.Prof Frank Gaillard

Presentation

Intermittent abdominal pain for a number of years.

Patient Data

Age: 70 years
Gender: Male
CT

CT abdomen and pelvis

CT of the abdomen demonstrates the small bowel mesentery to be hazy, with positive mass effect and multiple small soft tissue nodules. The fat surrounding the mesenteric vessels is not stranded. No significant retroperitoneal lymph node enlargement can be seen. Incidental colonic diverticulosis noted

Annotated image

Annotated image

Sparing of the fat surrounding soft tissue nodules (blue arrows) and vessels (red arrows) producing the so-called 'fat halo'. 

Case Discussion

This patient has been followed up for a number of years with no change in either imaging appearance or symptomatology. Features are characteristic of mesenteric panniculitis. 

PlayAdd to Share

Case information

rID: 15048
Case created: 18th Sep 2011
Last edited: 29th Mar 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.