Presentation
Left flank pain. CT with stone prtocol was performed.
Patient Data
A misty pattern of mesentery around the vessels suggesting sclerosing mesenteritis.
Other findings include absent right kidney and a left kidney cyst.
There is no stone in the urinary tract.
Misty pattern of mesentery (yellow oval) around the vessels suggesting sclerosing mesenteritis.
Abundant intra-abdominal fat.
Case Discussion
Misty mesentery is relatively common and the incidence appears to be higher in those with higher BMI. Visceral adipose tissue may be a cause of inflammation. Other causes include edema, hemorrhage, inflammation and neoplasia. Sclerosing mesenteritis is an uncommon condition associated with pain and altered bowel habit.