Retractile mesenteritis: small-bowel radiography, CT, and MR imaging.

Fujiyoshi, Fumito; Ichinari, Naohide; Kajiya, Yoriko; Nishida, Hitoshi; Shimura, Tsukasa; Nakajo, Masatoyo; Matsunaga, Y; Furoi, Akira; Imaguma, M

doi:10.2214/ajr.169.3.9275898

Cited by 41 publications

(27 citation statements)

References 6 publications

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“…When the predominant pathologic component is inflammatory or fatty, the disease is known as mesenteric panniculitis [6]. When fibrosis is the dominant component, the disease is referred to as retractile mesenteritis [14,15]. The latter is considered the final, more invasive stage of mesenteric panniculitis complicated by fibrosis and retraction [2].…”

Section: Discussionmentioning

confidence: 99%

CT Evaluation of Mesenteric Panniculitis

Daskalogiannaki

Voloudaki

Prassopoulos

et al. 2000

American Journal of Roentgenology

260

134

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Section: Discussionmentioning

confidence: 99%

CT Evaluation of Mesenteric Panniculitis

Daskalogiannaki

Voloudaki

Prassopoulos

et al. 2000

American Journal of Roentgenology

260

134

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“…Ascites and pleural and pericardial effusions also were reported (2, 19). An interesting presentation of a pulsatile abdominal mass due to transmitted pulsations from the abdominal aorta through the fibroinflammatory mass was reported (27). It may be difficult to differentiate this from an abdominal aortic aneurysm.…”

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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“…MP is known by a variety of alternative terms including ‘mesenteric lipodystrophy’ [4], ‘liposclerotic mesenteritis’ [5] and ‘misty mesentery’ [6, 7]. The latter term includes entities such as ‘sclerosing mesenteritis’ [8] and ‘retractile mesenteritis’ [9]. Such varied terminology reflects confusion regarding the precise definition of MP.…”

Section: Introductionmentioning

confidence: 99%

Mesenteric panniculitis: systematic review of cross-sectional imaging findings and risk of subsequent malignancy

2016

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ObjectivesSystematic review to determine any association between imaging features of idiopathic mesenteric panniculitis (MP) and subsequent malignancy.MethodsTwo 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.ResultsFourteen of 675 articles were eligible; 1,226 patients. Only three (21 %) accrued patients prospectively. Twelve (86 %) studies described CT features. Follow-up varied widely; 1 month to 8 years. Prevalence of MP was influenced by accrual: 0.2 % for keyword search versus 1.7 % for consecutive series. Accrual bias affected nine (64 %) studies. 458 (38 %) of 1,209 patients had malignancy at accrual but varied widely (8–89 %), preventing meta-analysis. Sixty (6.4 %) of 933 patients developed new malignancy subsequently, also varying widely (0–11 %). Of just four studies that determined the proportion of unselected, consecutive patients with MP developing subsequent malignancy, three were retrospective and the fourth excluded patients with lymphadenopathy, likely excluding patients with MP.ConclusionStudies were heterogeneous, with biased accrual. No available study can determine an association between MP and subsequent malignancy with certainty.Key Points• Our systematic review of mesenteric panniculitis found that imaging studies were biased.• Spectrum and recruitment bias was largely due to retrospective study designs.• No study could confirm a certain link between mesenteric panniculitis and subsequent malignancy.• Excessive methodological heterogeneity precluded meaningful meta-analysis.• High-quality research linking mesenteric panniculitis imaging features and subsequent malignancy is needed.

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Retractile mesenteritis: small-bowel radiography, CT, and MR imaging.

Cited by 41 publications

References 6 publications

CT Evaluation of Mesenteric Panniculitis

CT Evaluation of Mesenteric Panniculitis

Sclerosing Mesenteritis Seen Clinically as Pancreatic Pseudotumor

Mesenteric panniculitis: systematic review of cross-sectional imaging findings and risk of subsequent malignancy

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