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mesenteric panniculitis

A Canan
A Mesenteric panniculitis is an uncommon disorder with unknown etiology. It may cause nonspesific abdominal or systemic symptoms. Radiological modalitis especially computed tomography are very helpful to make a diagnosis. Hence, the radiologist should be familiar with its tomographic findings to avoid further examinations and unnecessary surgery. We report computed tomography findings of mesenteric panniculitis in an adult patient with renal colic.
May 2016: Journal of Nepal Health Research Council
Hedfi Mohamed, Charfi Mehdi, Messaoudi Ikram, Moussa Myriam, Bouhawala Habib, Chouchene Adnene
Mesenteric panniculitis is a nonspecific inflammation involving the mesentery. Its clinical presentation is variable depending on the stage of the disease. Clinical signs are usually pain but half of the patients remain asymptomatic. Palpable abdominal mass, weight loss, nausea and vomiting. There may be an inflammatory syndrome of variable intensity. Panniculitis is suspected based on scan showing hyperdense mesentery with adhesions to adjacent organs. Histologically there is adipocyte degeneration causing foreign body reaction and appear lymphoplasmacytic inflammatory lesions...
2016: Pan African Medical Journal
Alexandre Nuzzo, Magaly Zappa, Dominique Cazals-Hatem, Yoram Bouhnik
BACKGROUND: Mesenteric panniculitis (MP) is mostly an associated sign of an intra-abdominal or systemic inflammatory primary disease. Nevertheless, etiological and differential diagnosis of idiopathic MP can be challenging when an associate primary cause is not in the foreground. METHODS: We report here the case of an isolated small bowel Crohn's disease, long time considered as idiopathic MP. RESULTS: This patient presented to our department with a 10-year history of acute abdominal symptoms evolving with flare-up and remission...
September 2016: Medicine (Baltimore)
F Scheer, P Spunar, P Wiggermann, C Wissgott, R Andresen
PURPOSE: The exact etiology of mesenteric panniculitis (MP) is still unknown and has been discussed in relation to different causes. The aim of this retrospective study was to evaluate a coherence between MP and malignancy. MATERIALS AND METHODS: Retrospective analysis of consecutive CT abdomen examinations of 5595 patients in terms of MP over a period of 3 years was performed. To make the diagnosis of MP, three of five typical signs were obligatory: hyperdense mass lesion with intercalated nodules, a "fat-ring sign" or halo sign, a hyperdense pseudocapsule and displacement of bowel loops...
October 2016: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
P Buchwald, L Diesing, L Dixon, C Wakeman, T Eglinton, B Dobbs, F Frizelle
BACKGROUND: Mesenteric panniculitis (MP) is a rare condition that historically has been associated with the presence of malignancy. Paraneoplastic phenomena in general regress with cure and in most cases with treatment of the cancer. This study was undertaken to determine whether MP regressed with cancer treatment and cure. METHODS: This was a retrospective review of a database of all patients with MP confirmed on CT between 2003 and August 2015 at Christchurch Hospital...
November 2016: British Journal of Surgery
Sun Hwan Bae, Se Jin Park, Wan Seop Kim, Min Woo Lee, Ji Soo Kim
Pediatric mesenteric panniculitis is an extremely rare disease of unknown etiology characterized by chronic inflammation, fat necrosis, and fibrosis in the mesenteric adipose tissue. A previously healthy 13-year-old boy was admitted because of right upper abdominal pain. An abdominal computed tomography scan revealed increased attenuation and enhancement in the left upper abdominal omental fat and anterior peritoneal wall thickening. A laparoscopic biopsy showed mesenteric panniculitis with chronic inflammation, adiponecrosis, and septal fibrosis...
June 2016: Pediatric Gastroenterology, Hepatology & Nutrition
Akira Kuriyama
No abstract text is available yet for this article.
July 14, 2016: American Journal of Medicine
R Metha, G P S Gahlot, P Das, G Jindal, V P Mouli, K S Madhusudhan, R Sharma, S Pal, V Ahuja, S DattaGupta
BACKGROUND: Sclerosing mesenteric panniculitis (SMP) is an idiopathic chronic fibroinflammatory disorder of the intra-abdominal fat. CASE PRESENTATION: Herin, we report a case of SMP, involving the omentum, mesentery and peri-colic fat in a 18 year old male, who presented with significant and recurrent abdominal distension for 4.5 years. Computed tomogram revealed ascites, with nodular and irregular omental thickening and foci of calcification. Non-specific radiological and histological features made an accurate diagnosis extremely difficult...
April 2016: Acta Gastro-enterologica Belgica
Q Zhang, Q W Jiang
No abstract text is available yet for this article.
July 1, 2016: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
Rebecca L Burns, Sharukh J Bhavnagri
Mesenteric panniculitis is a rare inflammatory and fibrotic process that affects the small intestine mesentery. It may occur following abdominal surgery or in association with a variety of conditions, including malignancy, infection, and certain autoimmune and inflammatory conditions. Herein, an unusual case of mesenteric panniculitis in a patient with primary Sjögren's syndrome will be presented. The patient presented with abdominal pain, weight loss, sicca symptoms, fatigue, and arthralgia. An abdominal CT revealed mesenteric fat stranding and prominent lymph nodes of the small intestine mesentery...
2016: Case Reports in Rheumatology
Steve Halligan, Andrew Plumb, Stuart Taylor
OBJECTIVES: Systematic review to determine any association between imaging features of idiopathic mesenteric panniculitis (MP) and subsequent malignancy. METHODS: Two researchers searched primary literature independently for imaging studies of MP. They extracted data focusing on methodology for unbiased patient accrual and capability to determine a link between MP and subsequent malignancy. They noted imaging features of MP. Data were accrued and meta-analysis intended...
December 2016: European Radiology
María Del Mar Ayala Gutiérrez, Enrique de Ramón Garrido
Mesenteric panniculitis is a condition characterized by chronic nonspecific inflammation of the mesentery. There is little and often confusing information about its characteristics and the approach to take once it has been demonstrated by an imaging test. We propose to describe the epidemiological, clinical, laboratory, radiological and pathological features of the patients with mesenteric panniculitis reported in the literature, as well as possible disorders causal or associated with mesenteric panniculitis, in the opinion of the authors of each study...
June 3, 2016: Medicina Clínica
Laure Protin-Catteau, Gérard Thiéfin, Coralie Barbe, Damien Jolly, Philippe Soyer, Christine Hoeffel
BACKGROUND: The relationship between mesenteric panniculitis (MP), a benign condition involving adipose mesenteric tissue, and malignancy is still being questioned. PURPOSE: To investigate the prevalence of MP and study its relationship with malignancy. To investigate the 5-year outcome of MP patients for the development of malignancy. MATERIAL AND METHODS: Retrospective search for MP reviewing 3054 consecutive multidetector row computed tomography (MDCT) scans...
February 10, 2016: Acta Radiologica
Hichem Jerraya, Mehdi Khalfallah, Ramzi Nouira, Chadli Dziri
No abstract text is available yet for this article.
December 2015: Journal of Clinical and Diagnostic Research: JCDR
Kazuki Kakimoto, Takuya Inoue, Ken Toshina, Naoki Yorifuji, Munetaka Iguchi, Kaori Fujiwara, Yuichi Kojima, Toshihiko Okada, Sadaharu Nouda, Ken Kawakami, Yosuke Abe, Toshihisa Takeuchi, Yutaro Egashira, Kazuhide Higuchi
Mesenteric panniculitis (MP) is a benign fibroinflammatory process characterized by the presence of fat necrosis, chronic inflammation and fibrosis in the mesentery. Although various causal factors, such as malignancy, chronic inflammatory conditions and autoimmune processes, have been identified, the precise etiology remains unknown. We herein report a rare case of MP accompanying Sjögren's syndrome in which a mass lesion and intestinal stenosis were observed simultaneously. This condition led to ileus, which was effectively treated using prednisolone...
2016: Internal Medicine
Moaize Chechi, Zeyad Alsallami, Luke Armstrong
INTRODUCTION: Mesenteric panniculitis is a rare condition which presents as abdominal pain. It involves benign inflammatory or fibrotic changes affecting the mesentery of the bowel. PRESENTATION OF CASE: An 80 year old man presented with severe abdominal pain of acute onset. He was found to have a high lactate and high blood glucose. He was not a known diabetic. A computed tomography (CT) scan revealed a diagnosis of mesenteric panniculitis, and the patient rapidly responded to steroid treatment...
2015: International Journal of Surgery Case Reports
A J Cross, J J McCormick, N Griffin, L Dixon, B Dobbs, F A Frizelle
AIM: Mesenteric panniculitis (MP) is a chronic inflammatory process of the small bowel mesentery that has been reported in conjunction with malignancy. The objectives of the present study were to identify the frequency and type of cancers that may coexist with MP and whether these can be seen on the initial diagnostic computerised tomography (CT). METHOD: A prospective database was kept of patients diagnosed with MP in the Canterbury region of New Zealand between 1 January 2003 and 31 December 2014...
April 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Kathryn B Friedman, Burton Cohen, Louis R DePalo, James Aisenberg
No abstract text is available yet for this article.
2015: Endoscopy
Domenico Albano, Giovanni Bosio, Francesco Bertagna
Mesenteric panniculitis is an underdiagnosed inflammatory condition of unknown etiology that involves the mesenteric adipose tissue. Clinical symptoms are not specific (fever, abdominal pain, or nausea), so diagnosis is not simple. We report a case of 48-year-old man with abdominal pain and fever not responsive to antipyretics and antibiotics for 2 months, who underwent an F-FDG PET/CT after a nondiagnostic CT scan. PET/CT has proven to be a useful method for the diagnosis of mesenteric panniculitis in this patient, showing a uniformly high uptake of FDG in the mesenteric adipose tissue of the mesocolon, mesoappendix, mesosigmoid, and mesorectum...
March 2016: Clinical Nuclear Medicine
William Makis
A 62-year-old man was diagnosed with a moderately differentiated gastric adenocarcinoma in the proximal stomach. A staging 18F-FDG PET/CT showed an intensely FDG-avid gastric mass, as well as a mildly FDG-avid misty nodular mesentery. After 3 cycles of neoadjuvant chemotherapy, a follow-up PET/CT showed partial response of the gastric primary, with increase in the size of nodules in the mesentery and increased FDG uptake, raising concern of secondary malignancy. Biopsy of the mesentery revealed xanthogranulomatous inflammation, consistent with sclerosing mesenteritis...
April 2016: Clinical Nuclear Medicine
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