Association between mesenteric panniculitis and non-neoplastic disorders

Güneş, Serra Özbal; Aktürk, Yeliz; Güldoğan, Esra Soyer; Yılmaz, Kerim Bora; Ergün, Onur; Hekįmoğlu, Baki

doi:10.1016/j.clinimag.2021.05.006

Cited by 5 publications

(5 citation statements)

References 36 publications

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“…30 In our series, 23 (23%) individuals showed pancreatic steatosis. A recent retrospective study by Gunes et al 31 reported an increased occurrence of MS in 102 patients with mesenteric panniculitis compared to 408 matched controls. Interestingly, all 8 (8%) cases of mesenteric panniculitis in our preliminary report were accompanied by increased jejunal enhancement (Figure 3).…”

Section: Discussionmentioning

confidence: 99%

Hepatic steatosis: additional findings in the splanchnic system on magnetic resonance imaging

C Semelka MD,

Elias Jr, MD, PhD,

Pereira MD

et al. 2024

GHOA

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Purpose: To document additional findings in the Splanchnic System in patients with hepatosteatosis on clinical MR studies. Materials and Methods: One hundred randomly selected studies of patients with hepatosteatosis who underwent clinical MR studies during a six-month interval were included. Clinical information on the current requisition and prior abdominal studies within one year was recorded. No research or additional investigation into medical records was performed. Statistical analyses were performed. Results: Among 100 patients with hepatosteatosis, there were 59 Females (mean 52.6 years). The presenting complaint was abdominal pain, right upper quadrant, or general pain in 77. Ninety-nine patients showed increased enhancement of the upper GI tract in at least one segment (esophagus and duodenum most commonly). There was a significant association between the subjective grading of hepatosteatosis and bowel enhancement in the Splanchnic System (p=0.00049). Ninety-four were overweight/obese; 23 had pancreatic steatosis; 8 had mesenteric panniculitis. Other findings were recorded. Conclusion: Variable increased enhancement of the upper GI tract was present in almost all patients with hepatosteatosis, and various other abnormalities in the splanchnic system were observed. Hepatosteatosis and inflammation of the upper GI tract may be commonly present together and may be part of a larger picture of splanchnic abnormalities.

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Section: Discussionmentioning

confidence: 99%

Hepatic steatosis: additional findings in the splanchnic system on magnetic resonance imaging

C Semelka MD,

Elias Jr, MD, PhD,

Pereira MD

et al. 2024

GHOA

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“…One theory postulates that MP is a response to previous abdominal trauma or surgery. [5][6][7] Association between MP and other inflammatory conditions and vasculitides has also been described and is discussed in further detail below. 5,7 It has also been suggested that there are two distinct pathological entities: one in which fat necrosis predominates, i.e.…”

Section: Background and Aetiologymentioning

confidence: 98%

“…[5][6][7] Association between MP and other inflammatory conditions and vasculitides has also been described and is discussed in further detail below. 5,7 It has also been suggested that there are two distinct pathological entities: one in which fat necrosis predominates, i.e. mesenteric panniculitis, and a second, rarer entity where fibrosis and retraction are the primary histological finding, i.e.…”

Section: Background and Aetiologymentioning

confidence: 98%

“…16 A recent retrospective study by Gunes et al reported increased rates of metabolic syndrome (45%), urolithiasis (37%), and vascular disorders (22%) in 102 patients with MP compared to 408 matched controls (32%, 27% and 15% respectively). 7 An association has also been postulated with diabetes mellitus. 20 Development of insulin resistance in Type 2 diabetes is thought to be the result of inflammation triggered by pro-inflammatory cytokines, changes in leukocyte and macrophage populations, and increased tissue fibrosis.…”

Section: Eze and Halliganmentioning

confidence: 99%

Section: Background and Aetiologymentioning

confidence: 99%

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Mesenteric panniculitis: a clinical conundrum

Eze

Halligan

2023

BJR

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Mesenteric panniculitis is encountered frequently during abdominopelvic CT scanning, often as an incidental finding. The observation is problematic because an association with malignancy has been raised in the literature. This review will describe the CT appearances and examine the available evidence regarding the significance of this finding. Ultimately, the literature remains unclear regarding how these patients should be managed, if at all.

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