Ehrenpreis Eli D, Rao Archana S, Aki Robert, Brown Heather, Pae Thomas, Boiskin Ian
Department of Gastroenterology, Rush University Medical Center, Chicago, Ill., USA.
Case Rep Gastroenterol. 2009 Apr 29;3(1):131-137. doi: 10.1159/000213653.
Mesenteric panniculitis (also known as sclerosing mesenteritis) is a chronic inflammatory disease of the mesenteric connective tissue. It is known to have a wide spectrum of clinical and radiological presentations. In general, biopsy is recommended for diagnosis; however, a recent study proposed that a negative positron emission tomography- computerized tomography (PET-CT) scan is accurate in differentiating benign and neoplastic mesenteric processes [Br J Radiol 2006;79:37-43]. The following case report questions the accuracy of PET-CT in this setting and confirms the requirement for biopsy to rule out the presence of mesenteric lymphoma.
肠系膜脂膜炎（也称为硬化性肠系膜炎）是一种肠系膜结缔组织的慢性炎症性疾病。已知其具有广泛的临床和放射学表现。一般而言，建议进行活检以明确诊断；然而，最近一项研究提出，正电子发射断层扫描-计算机断层扫描（PET-CT）扫描结果为阴性在鉴别良性和肿瘤性肠系膜病变方面具有准确性[《英国放射学杂志》2006年；79:37-43]。以下病例报告对PET-CT在这种情况下的准确性提出质疑，并证实需要进行活检以排除肠系膜淋巴瘤的存在。
