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Case of the Week 326

What's the most likely diagnosis?

  • 68 year-old male with abdominal pain and nausea

  1. Bladder perforation
  2. Colonic carcinoma
  3. Appendicitis
  4. Aortic aneurysm
  5. Mesenteric panniculitis

Additional Images - Another axial CT scan of abdomen


Additional Images

Enhanced CT scan of the abdomen at level of inferior pole of kidneys


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

More ...

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