Presentation
Intermittent abdominal pain for a number of years.
Patient Data
Age: 70 years
Gender: Male
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Axial C+ portal venous phase
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
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.
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