MR findings in a rare case of sclerosing mesenteritis of the mesocolon.
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.
Ghanem
Nadir
N
Department of Diagnostic Radiology, University Hospital Freiburg, 79106 Freiburg, Germany. gha@mrsl.ukl.uni-freiburg.de
Pache
Gregor
G
Bley
Thorsten
T
Kotter
Elmar
E
Langer
Mathias
M
D000328:Adult; D001706:Biopsy; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D019786:Gadolinium DTPA; D006801:Humans; D008279:Magnetic Resonance Imaging; D008643:Mesentery / Q000473:pathology*; D008646:Mesocolon / Q000473:pathology*; D015436:Panniculitis, Peritoneal / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery
D003287:Contrast Media; D019786:Gadolinium DTPA