Sclerosing mesenteritis and mesenteric panniculitis - clinical experience and radiological features

Research output: Contribution to journalArticle

Abstract

Background: Sclerosing mesenteritis (SM) is sometimes used as an umbrella-term for idiopathic inflammatory conditions in the mesentery. Mesenteric panniculitis (MP) is a radiological finding and its relation to clinical SM is not fully understood. The aims of this study were to determine whether any correlation could be found between the radiological findings and the clinical disease course. Methods: Patients observed due to idiopathic inflammation of the mesentery were identified. If SM could be verified histologically or MP radiologically, the patients were included in this descriptive retro perspective study. Results: Typical radiological changes were observed in 27 patients. A majority (23/27) of these patients had mild to moderate symptoms. This group with typical radiology was labelled MP. Four patients were included due to histologically verified disease but had uncharacteristic radiology involving multiple compartments of the abdomen. All four had marked systemic inflammation, fever and fluctuating radiologic findings. Three had severe disease with multiple hospitalisations and complications but responded promptly to corticosteroids. This group was denoted SM. Conclusions: We have identified two subgroups of patients; firstly, MP with stable and characteristic radiologic changes and secondly SM with atypical radiology and a more aggressive clinical course. We propose that the term SM should be reserved for this latter condition.

Details

Authors
Organisations
External organisations
  • Hospital of Trelleborg
  • Karolinska University Hospital
  • Skåne University Hospital
  • Ystad Hospital
Research areas and keywords

Keywords

  • Clinical classification, Mesenteric panniculitis, Mesenteritis, Panniculitis, Radiological classification, Retractile mesenteritis, Sclerosing mesenteritis
Original languageEnglish
Article number75
JournalBMC Gastroenterology
Volume17
Issue number1
StatePublished - 2017 Jun 13
Peer-reviewedYes