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Case of the Week 326 
What's the most likely diagnosis?
- 68 year-old male with abdominal pain and nausea
- Bladder perforation
- Colonic carcinoma
- Appendicitis
- Aortic aneurysm
- Mesenteric panniculitis
Additional Images - Another axial CT scan of abdomen
Answer:
5. Mesenteric Panniculitis
More (Click Discussion Tab)
Mesenteric Panniculitis
General Considerations
- Inflammatory process involving adipose tissue of the mesentery
- Usually over the age of 50
- Most cases are idiopathic
- Recent surgery, especially cholecystectomy and appendectomy apparently predispose to its development
- Also found more often in those with
- Cholelithiasis
- Lymphoma
- Cirrhosis
- Abdominal aortic aneurysm
- Peptic ulcer
- Gastric carcinoma
- Prior abdominal trauma
- Autoimmune disease
This Week
68 year-old with abdominal pain and nausea undergoes a CT scan of the abdomen |
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Subscribe to video podcasts from LearningRadiology.com and be notified when new mini-tutorials designed especially for the small screen become available |
A mobile version for your PDA or internet-enabled smartphone with lists of differential diagnoses, most commons and more |
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LearningRadiology.com is an award-winning educational site aimed primarily at medical students and radiology residents-in-training, containing lectures, handouts, images, Cases of the Week, archives of case quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, cardiac, and bone radiology.
