Mesenteric masses: approach to differential diagnosis at MRI with histopathologic correlation

J Magn Reson Imaging. 2014 Oct;40(4):753-69. doi: 10.1002/jmri.24690. Epub 2014 Jul 26.

Abstract

Magnetic resonance imaging (MRI) is an outstanding tool for the identification and characterization of mesenteric masses. Mesenteric masses may be solid or cystic. Most solid mesenteric masses are neoplastic, with sclerosing mesenteritis a notable exception. Entirely cystic mesenteric masses are typically benign. The excellent soft-tissue contrast afforded by MRI aids in narrowing the differential diagnosis of mesenteric masses. Accurately characterizing both solid and cystic mesenteric masses is important, as management ranges from active surveillance to medical management to surgical resection, depending on the tissue composition of the mass. An MRI-based approach to the differential diagnosis of mesenteric masses is presented.

Keywords: magnetic resonance imaging (MRI); mesenteric inflammation; mesenteric mass.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Diagnosis, Differential
  • Humans
  • Image Enhancement / methods*
  • Magnetic Resonance Imaging / methods*
  • Mesentery / pathology*
  • Panniculitis, Peritoneal / pathology*
  • Peritoneal Neoplasms / pathology*