Mesenteric panniculitis part 2: prevalence and natural course: mdct prospective study

Coulier, B

doi:10.5334/jbr-btr.659

Cited by 63 publications

(148 citation statements)

References 16 publications

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“…Based on the diagnostic criteria of Coulier [5], "sign 2" and "sign 3" were present in the whole study population. Twenty-four patients (66%) had a mass effect (sign 1).…”

Section: Resultsmentioning

confidence: 99%

“…to confirm the presence of radiologic characteristic features of MP. The radiologic diagnosis of MP was defined according to the study of Coulier [5], which defined 5 typical CT signs: (i) the presence of a well-defined "mass effect" on neighboring structures, (ii) constituted by mesenteric fat tissue of an inhomogeneous higher attenuation than adjacent retroperitoneal or mesocolonic fat, (iii) containing small soft tissue nodes, (iv) a fatty "halo sign" indicating the preservation of a halo of fat around the involved vessels; and (v) a hyper-attenuating pseudocapsule. The diagnosis of MP was established if 3 of these signs were present (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…However, MP is usually suspected with MP-like findings on computed tomography (CT) scans incidentally during investigations into other disorders [4,5]. In large series, imaging findings consistent with MP were reported in 0.16-2.5% of patients undergoing abdominal CT for various indications [6,7].…”

Section: Introductionmentioning

confidence: 99%

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An Overlooked Potentially Treatable Disorder: Idiopathic Mesenteric Panniculitis

Şahin¹,

Artaş

Eroğlu

et al. 2017

Med Princ Pract

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Objective: The aim of this study was to determine the prevalence of mesenteric panniculitis (MP) and to describe its clinical characteristics, therapy, and outcome. Subjects and Methods: This retrospective study was carried out among patients with MP based on computed tomography (CT) scans from January 2012 to December 2015. The CT images were reanalyzed by study radiologists to confirm the previous MP diagnosis. Patients were divided into 2 groups, i.e., idiopathicandsecondary, based on the presence or absence of associated predisposing factors such as trauma, malignancy, autoimmune disorders, ischemia, or previous abdominal surgery. The clinical characteristics of the 2 groups, as well as treatments, were assessed. Results: Among the 19,869 CT scans, 36 patients (0.18%) with MP were identified (i.e., 19 [53%] females and 17 [47%] males). The median age was 54 years (range 26 - 76). Twenty-four patients (67%) were categorized into the idiopathic group. Malignancy was the predisposing factor in 8 (22%) of those patients. Furthermore, abdominal pain was the cardinal symptom observed in 22 patients (92%) in the idiopathic group. In the idiopathic group, 15 patients (63%) were treated with antibiotics and 16 (67%) were treated with nonsteroidal anti-inflammatory drugs (NSAID). One unresponsive patient was treated with colchicine. Symptomatic relief was achieved in all of the treated patients. Conclusion: In thisstudy, a symptomatic idiopathic subgroup of patients with MP did not have any associated disorder. The response to treatment with antibiotics and NSAID was effective in most of the patients. Based on these findings, anti-inflammatory treatments beyond NSAID and surgery should be reserved for patients who are unresponsive to antibiotics and NSAID.

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“…Based on the diagnostic criteria of Coulier [5], "sign 2" and "sign 3" were present in the whole study population. Twenty-four patients (66%) had a mass effect (sign 1).…”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

An Overlooked Potentially Treatable Disorder: Idiopathic Mesenteric Panniculitis

Şahin¹,

Artaş

Eroğlu

et al. 2017

Med Princ Pract

View full text Add to dashboard Cite

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“…The radiological CT diagnosis of MP is classically based on typical if not pathognomonic features clearly described and documented in the literature (1)(2)(3)(4)(5)(6). They comprise the presence of a well-defined "mass effect" on neighboring structures (sign 1) constituted by mesenteric fat tissue of inhomogeneous higher attenuation than adjacent retro peritoneal or mesocolonic fat (sign 2) and containing small soft tissue nodules (sign 3).…”

Section: Dear Editor In Chiefmentioning

confidence: 99%

“…In a recent couple of papers published in volume 94 (2011) of JBR-BTR we successively tried to explore the typical imaging findings and to prospectively study the prevalence and natural course of MP (1,2).…”

Section: Dear Editor In Chiefmentioning

confidence: 99%

A case of symptomatic mesenteric panniculitis presenting with unusual positive FDG PET/CT nodular components: an atypical imaging strategy with histopathologic correlation.

Coulier

Bueres

Deprez

et al. 2015

Journal of the Belgian Society of Radiology

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Duplex Doppler Sonographic Assessment of the Superior Mesenteric Artery in Patients With Mesenteric Panniculitis

Acu

Güven

Kaptan

et al. 2017

J of Ultrasound Medicine

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Objectives-We aimed to determine how the hemodynamic parameters of the superior mesenteric artery are affected in mesenteric panniculitis.Methods-Twenty-one patients with a diagnosis of mesenteric panniculitis on computed tomography were evaluated with duplex Doppler sonography. The control group consisted 20 asymptomatic volunteers. The peak systolic velocity, enddiastolic velocity (EDV), resistive index (RI), pulsatility index (PI), blood flow volume, and body mass index were measured in the group of patients with mesenteric panniculitis, and the findings were compared with those of the control group.Results-The mean blood flow volume and EDV were significantly higher in the patient group: The mean superior mesenteric artery blood flow volume 6 SD was 917.86 6 228.97 mL/min in the patient group versus 389.73 6 92.72 mL/min in the control group (P < .001). The mean EDV was 31.56 6 8.44 m/s in the patient group versus 19.27 6 4.19 m/s in the control group (P < .001). The mean RI and PI were significantly lower in the patient group: The mean RI was 0.81 6 0.04 in the patient group versus 0.85 6 0.03 in the control group (P 5 .001). The mean PI was 2.69 6 0.68 in the patient group versus 3.81 6 1.13 in the control group (P 5 .001). the mean superior mesenteric artery diameter was 7.30 6 0.67 mm in the patient group versus and 6.46 6 0.66 mm in the control group (P < .001). The mean BMI was 27.95 6 3.80 kg/m 2 in the patient group versus 23.16 6 3.47 kg/m 2 in the control group (P < .001).Conclusions-In patients with mesenteric panniculitis, the Doppler spectrum of the superior mesenteric artery shows detectable changes, which are characterized by decreased vascular resistance and increased blood flow.Key Words-Doppler (abdominal); duplex Doppler sonography; mesenteric panniculitis; superior mesenteric artery M esenteric panniculitis is a rare disorder that is characterized by inflammation of the mesenteric adipose tissue. 1 This disorder most commonly involves the mesentery of the small bowel, but the mesocolon may also be occasionally involved. 2,3 The etiology of mesenteric panniculitis remains unclear. The disease may occur in isolation, or it may be associated with other disorders. 1 The suggested causes of mesenteric panniculitis include autoimmune disorders, infection, trauma, prior abdominal surgery, and ischemia of the mesentery. 4,5 Mesenteric panniculitis has also been associated

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Mesenteric panniculitis part 2: prevalence and natural course: mdct prospective study

Cited by 63 publications

References 16 publications

An Overlooked Potentially Treatable Disorder: Idiopathic Mesenteric Panniculitis

An Overlooked Potentially Treatable Disorder: Idiopathic Mesenteric Panniculitis

A case of symptomatic mesenteric panniculitis presenting with unusual positive FDG PET/CT nodular components: an atypical imaging strategy with histopathologic correlation.

Duplex Doppler Sonographic Assessment of the Superior Mesenteric Artery in Patients With Mesenteric Panniculitis

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