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Sclerosing Mesenteritis
Siva P. Raman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Retractile mesenteritis, fibrosing mesenteritis, mesenteric panniculitis, mesenteric lipodystrophy, liposclerotic mesenteritis, systemic nodular panniculitis, xanthogranulomatous mesenteritis
            • Definitions

              • Idiopathic inflammatory and fibrotic disorder affecting mesentery of unknown etiology

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Nuclear Medicine Findings

                    • Radiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. McLaughlin PD et al: The "misty mesentery": mesenteric panniculitis and its mimics. AJR Am J Roentgenol. 200(2):W116-23, 2013
                                            2. Canyigit M et al: Multidetector-row computed tomography findings of sclerosing mesenteritis with associated diseases and its prevalence. Jpn J Radiol. 29(7):495-502, 2011
                                            3. Coulier B: Mesenteric panniculitis. Part 1: MDCT--pictorial review. JBR-BTR. 94(5):229-40, 2011
                                            4. Scudiere JR et al: Sclerosing mesenteritis involving the pancreas: a mimicker of pancreatic cancer. Am J Surg Pathol. 34(4):447-53, 2010
                                            5. Arora M et al: A clinical case study: sclerosing mesenteritis presenting as chylous ascites. Medscape J Med. 10(2):30, 2008
                                            6. Chen TS et al: Are tumefactive lesions classified as sclerosing mesenteritis a subset of IgG4-related sclerosing disorders? J Clin Pathol. 61(10):1093-7, 2008
                                            7. Grieser C et al: Sclerosing mesenteritis as a rare cause of upper abdominal pain and digestive disorders. Acta Radiol. 49(7):744-6, 2008
                                            8. Preda M et al: Sclerosing mesenteritis presenting with abdominal pain and fever in a young woman: computed tomography findings. ANZ J Surg. 78(8):709-10, 2008
                                            9. Akram S et al: Sclerosing mesenteritis: clinical features, treatment, and outcome in ninety-two patients. Clin Gastroenterol Hepatol. 5(5):589-96; quiz 523-4, 2007
                                            10. Levy AD et al: From the archives of the AFIP: benign fibrous tumors and tumorlike lesions of the mesentery: radiologic-pathologic correlation. Radiographics. 26(1):245-64, 2006
                                            11. Matsuki M et al: CT and MR features of sclerosing mesenteritis mimicking a mesenteric metastasis from the carcinoid tumor. Radiat Med. 24(3):220-3, 2006
                                            12. Zissin R et al: Mesenteric panniculitis in oncologic patients: PET-CT findings. Br J Radiol. 79(937):37-43, 2006
                                            13. Horton KM et al: CT findings in sclerosing mesenteritis (panniculitis): spectrum of disease. Radiographics. 23(6): 1561-7, 2003
                                            14. Nguyen BD: F-18 FDG PET demonstration of sclerosing mesenteritis. Clin Nucl Med. 28(8):670-1, 2003
                                            15. Seo BK et al: Segmental misty mesentery: analysis of CT features and primary causes. Radiology. 226(1): 86-94, 2003
                                            16. Lawler LP et al: Sclerosing mesenteritis: depiction by multidetector CT and three-dimensional volume rendering. AJR Am J Roentgenol. 178(1): 97-9, 2002
                                            17. Daskalogiannaki M et al: CT evaluation of mesenteric panniculitis: prevalence and associated diseases. AJR Am J Roentgenol. 174(2): 427-31, 2000
                                            18. Sabate JM et al: Sclerosing mesenteritis: imaging findings in 17 patients. AJR Am J Roentgenol. 172(3): 625-9, 1999
                                            19. Fujiyoshi F et al: Retractile mesenteritis: small-bowel radiography, CT, and MR imaging. AJR Am J Roentgenol. 169(3): 791-3, 1997
                                            20. Mindelzun RE et al: The misty mesentery on CT: differential diagnosis. AJR Am J Roentgenol. 167(1): 61-5, 1996
                                            21. Kronthal AJ et al: MR imaging in sclerosing mesenteritis. AJR Am J Roentgenol. 156(3): 517-9, 1991
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Retractile mesenteritis, fibrosing mesenteritis, mesenteric panniculitis, mesenteric lipodystrophy, liposclerotic mesenteritis, systemic nodular panniculitis, xanthogranulomatous mesenteritis
                                                      • Definitions

                                                        • Idiopathic inflammatory and fibrotic disorder affecting mesentery of unknown etiology

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Nuclear Medicine Findings

                                                              • Radiographic Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. McLaughlin PD et al: The "misty mesentery": mesenteric panniculitis and its mimics. AJR Am J Roentgenol. 200(2):W116-23, 2013
                                                                                      2. Canyigit M et al: Multidetector-row computed tomography findings of sclerosing mesenteritis with associated diseases and its prevalence. Jpn J Radiol. 29(7):495-502, 2011
                                                                                      3. Coulier B: Mesenteric panniculitis. Part 1: MDCT--pictorial review. JBR-BTR. 94(5):229-40, 2011
                                                                                      4. Scudiere JR et al: Sclerosing mesenteritis involving the pancreas: a mimicker of pancreatic cancer. Am J Surg Pathol. 34(4):447-53, 2010
                                                                                      5. Arora M et al: A clinical case study: sclerosing mesenteritis presenting as chylous ascites. Medscape J Med. 10(2):30, 2008
                                                                                      6. Chen TS et al: Are tumefactive lesions classified as sclerosing mesenteritis a subset of IgG4-related sclerosing disorders? J Clin Pathol. 61(10):1093-7, 2008
                                                                                      7. Grieser C et al: Sclerosing mesenteritis as a rare cause of upper abdominal pain and digestive disorders. Acta Radiol. 49(7):744-6, 2008
                                                                                      8. Preda M et al: Sclerosing mesenteritis presenting with abdominal pain and fever in a young woman: computed tomography findings. ANZ J Surg. 78(8):709-10, 2008
                                                                                      9. Akram S et al: Sclerosing mesenteritis: clinical features, treatment, and outcome in ninety-two patients. Clin Gastroenterol Hepatol. 5(5):589-96; quiz 523-4, 2007
                                                                                      10. Levy AD et al: From the archives of the AFIP: benign fibrous tumors and tumorlike lesions of the mesentery: radiologic-pathologic correlation. Radiographics. 26(1):245-64, 2006
                                                                                      11. Matsuki M et al: CT and MR features of sclerosing mesenteritis mimicking a mesenteric metastasis from the carcinoid tumor. Radiat Med. 24(3):220-3, 2006
                                                                                      12. Zissin R et al: Mesenteric panniculitis in oncologic patients: PET-CT findings. Br J Radiol. 79(937):37-43, 2006
                                                                                      13. Horton KM et al: CT findings in sclerosing mesenteritis (panniculitis): spectrum of disease. Radiographics. 23(6): 1561-7, 2003
                                                                                      14. Nguyen BD: F-18 FDG PET demonstration of sclerosing mesenteritis. Clin Nucl Med. 28(8):670-1, 2003
                                                                                      15. Seo BK et al: Segmental misty mesentery: analysis of CT features and primary causes. Radiology. 226(1): 86-94, 2003
                                                                                      16. Lawler LP et al: Sclerosing mesenteritis: depiction by multidetector CT and three-dimensional volume rendering. AJR Am J Roentgenol. 178(1): 97-9, 2002
                                                                                      17. Daskalogiannaki M et al: CT evaluation of mesenteric panniculitis: prevalence and associated diseases. AJR Am J Roentgenol. 174(2): 427-31, 2000
                                                                                      18. Sabate JM et al: Sclerosing mesenteritis: imaging findings in 17 patients. AJR Am J Roentgenol. 172(3): 625-9, 1999
                                                                                      19. Fujiyoshi F et al: Retractile mesenteritis: small-bowel radiography, CT, and MR imaging. AJR Am J Roentgenol. 169(3): 791-3, 1997
                                                                                      20. Mindelzun RE et al: The misty mesentery on CT: differential diagnosis. AJR Am J Roentgenol. 167(1): 61-5, 1996
                                                                                      21. Kronthal AJ et al: MR imaging in sclerosing mesenteritis. AJR Am J Roentgenol. 156(3): 517-9, 1991