Mesenteric fat necrosis simulating a carcinoma of the cecum.
Fat necrosis in the mesentery is an unusual complication of an adjacent inflammatory process. This report demonstrates a case of fat necrosis resulting in multiple irregularly firm masses measuring up to 4.5 cm. in diameter which produced extrinsic pressure on the cecum and ascending colon, simulating a carcinoma radiographically and at surgery. The fat necrosis was caused by chronic appendicitis in association with pylephlebitis.
D000368:Aged; D001064:Appendicitis / Q000150:complications; D002430:Cecal Neoplasms / Q000000981:diagnostic imaging*; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005218:Fat Necrosis / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D008643:Mesentery; D009336:Necrosis / Q000000981:diagnostic imaging*; D010689:Phlebitis / Q000150:complications; D011169:Portal Vein; D011859:Radiography