Gudinchet F, Schnyder P
Department of Radiology, CHUV, Lausanne, Switzerland.
Acta Radiol. 1987 Nov-Dec;28(6):727-9.
Mesenteric panniculitis is an inflammatory condition of mesenteric fat which may result in peritoneal space occupying lesions. Only two previously reported cases in the English literature have been evaluated by computed tomography (CT). We present 2 additional cases and emphasize that CT patterns are not specific, but suggest the diagnosis in the presence of a well-defined fibrous wall circumscribing a fatty mass containing regions with attenuation near that of water. Lymphoma and mesenteric metastases should be considered the most frequent radiologic, clinical and surgical differential diagnosis.
肠系膜脂膜炎是一种肠系膜脂肪的炎症性疾病，可导致占据腹膜腔的病变。英文文献中此前仅报道过两例经计算机断层扫描（CT）评估的病例。我们报告另外2例，并强调CT表现虽不具有特异性，但在存在明确的纤维壁包绕脂肪块且其中含有近水样衰减区域时可提示诊断。淋巴瘤和肠系膜转移瘤应被视为最常见的放射学、临床和外科鉴别诊断。
