MR findings in a rare case of sclerosing mesenteritis of the mesocolon

J Magn Reson Imaging. 2005 May;21(5):632-6. doi: 10.1002/jmri.20280.

Abstract

Sclerosing mesenteritis is a rare, usually benign disorder of the mesentery. Depending on the predominant tissue component (inflammation, fat, or fibrosis), it is known as mesenteric panniculitis or retractile mesenteritis. We present a rare case of retractile mesenteritis of the mesocolon as a cause of severe abdominal pain. US, CT, and MRI were the imaging modalities used. We emphasize the MR finding of a fibrous capsula in retractile mesenteritis, as this is to our knowledge the first study to describe this entity. This finding may be valuable for establishing a diagnosis of sclerosing mesenteritis, as well as for differentiating this disease from other mesenteric diseases.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy
  • Contrast Media
  • Diagnosis, Differential
  • Female
  • Gadolinium DTPA
  • Humans
  • Magnetic Resonance Imaging*
  • Mesentery / pathology*
  • Mesocolon / pathology*
  • Panniculitis, Peritoneal / diagnosis*
  • Panniculitis, Peritoneal / pathology
  • Panniculitis, Peritoneal / surgery

Substances

  • Contrast Media
  • Gadolinium DTPA