Retractile mesenteritis involving the colon: pathologic and radiologic correlation (case report)

Sy, Han; Koehler, R E; Fs, Keller; Kj, Ho; Sl, Zornes

doi:10.2214/ajr.147.2.268

Cited by 33 publications

(21 citation statements)

References 6 publications

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“…The results of our study are slightly different since 22% of our patients tended to show an improvement in the absence of any specific treatment, with in particular a decrease in the size and number of subcentimeter lymph nodes and a relatively lesser mistiness of mesenteric fat. As in previous studies [11,[34][35][36][37], it should be noted that we did not observe any shifts from MP towards retractile mesenteritis, including in patients with the most unfavorable courses (as determined by the appearance of their CT scans).…”

Section: Discussionsupporting

confidence: 84%

Mesenteric panniculitis: Still an ambiguous condition

Badet

Sailley

Briquez

et al. 2015

Diagnostic and Interventional Imaging

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Section: Discussionsupporting

confidence: 84%

Mesenteric panniculitis: Still an ambiguous condition

Badet

Sailley

Briquez

et al. 2015

Diagnostic and Interventional Imaging

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“…Pancreatitis, Whipple's disease, Weber-Christian disease, carcinoid syndrome, and inflammatory bowel disease have also been associated with this disease (1, [20][21][22]. The association with both inflammatory and immunologic disorders may suggest roles of both inflammatory and immunologic factors in the pathogenesis of this disease.…”

Section: Discussionmentioning

confidence: 99%

Sclerosing Mesenteritis Seen Clinically as Pancreatic Pseudotumor

Sheikh¹,

Prindiville²,

Arenson³

et al. 1999

Pancreas

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Sclerosing mesenteritis is an uncommon nonneoplastic inflammatory process in the mesentery that is seen as a pseudotumor, usually involving the small bowel mesentery, the mesenteric fat, and less commonly, the mesentery of the large bowel. We report two cases of sclerosing mesenteritis and review the literature on this rare disease. Both patients had pain, profound weight loss, and a mass on computed tomography (CT) scan of the abdomen. The provisional diagnosis was pancreatic neoplasm on the basis of clinical presentation and imaging studies. The diagnosis of sclerosing mesenteritis was established by histologic findings in biopsy material obtained at laparotomy in both cases. Interval histologic studies in one patient who had a high CA 19-9 level, progressive biliary ductal and partial duodenal compression, revealed a transitional histologic pattern from predominant inflammation and fat necrosis to predominant fibrosis. This may explain the varied descriptive terms used in the literature to describe this entity.

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“…Patients may present with abdominal pain, intestinal obstruction or ischemia, a mass, or diarrhea (4,10,11). Laboratory studies may demonstrate elevation of the erythrocyte sedimentation rate or anemia but may be normal in some patients (13).…”

Section: Clinical Manifestationsmentioning

confidence: 99%

“…The process usually involves the mesentery of the small bowel, especially at its root, but can occasionally involve the mesocolon (2)(3)(4). On rare occasions, it may involve the peripancreatic region, omentum, retroperitoneum, or pelvis (2,(5)(6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

CT Findings in Sclerosing Mesenteritis (Panniculitis): Spectrum of Disease

Horton¹,

Lawler

Fishman³

2003

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Sclerosing mesenteritis is a complex inflammatory disorder of the mesentery. Although sclerosing mesenteritis is often associated with other idiopathic inflammatory disorders such as retroperitoneal fibrosis, sclerosing cholangitis, Riedel thyroiditis, and orbital pseudotumor, its exact cause is unknown. The computed tomographic (CT) appearance of sclerosing mesenteritis will vary depending on the predominant tissue component (fat, inflammation, or fibrosis). CT plays an important role in suggesting the diagnosis in the proper clinical setting and can be useful in distinguishing sclerosing mesenteritis from other mesenteric diseases with similar CT features such as carcinomatosis, carcinoid tumor, lymphoma, desmoid tumor, and mesenteric edema. Nevertheless, surgical biopsy and pathologic analysis are usually necessary to make the diagnosis. Treatment may consist of therapy with steroids, colchicine, immunosuppressive agents, or orally administered progesterone. Surgical resection is sometimes attempted for definitive therapy, although the surgical approach is often limited by vascular involvement. CT with three-dimensional volume rendering is optimal for accurate, noninvasive follow-up of sclerosing mesenteritis and of any potential complications.

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Retractile mesenteritis involving the colon: pathologic and radiologic correlation (case report)

Cited by 33 publications

References 6 publications

Mesenteric panniculitis: Still an ambiguous condition

Mesenteric panniculitis: Still an ambiguous condition

Sclerosing Mesenteritis Seen Clinically as Pancreatic Pseudotumor

CT Findings in Sclerosing Mesenteritis (Panniculitis): Spectrum of Disease

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