Silverman P M, Baker M E, Cooper C, Kelvin F M
J Comput Assist Tomogr. 1986 Jan-Feb;10(1):67-70. doi: 10.1097/00004728-198601000-00014.
The extent of pathologic processes involving the mesentery is frequently difficult to assess by clinical examination and standard radiography. Contrast studies of the gastrointestinal tract only identify the effect of these processes on adjacent opacified bowel loops and frequently underestimate the extent of mesenteric pathology. Computed tomography has previously been used to characterize various mesenteric abnormalities, most often secondary to malignant or inflammatory disease. We report the characteristic CT appearance of diffuse mesenteric edema in 14 patients. Eleven patients had documented hypoalbuminemia, two patients superior mesenteric vein thrombosis, and one patient cirrhosis. The CT findings that allowed confident diagnosis of this entity include increase in density of the mesenteric fat, poor definition of segmental mesenteric vessels, relative sparing of the retroperitoneal fat, and association with subcutaneous edema.
涉及肠系膜的病理过程的范围通常很难通过临床检查和标准放射照相来评估。胃肠道造影检查只能识别这些过程对相邻显影肠袢的影响，并且常常低估肠系膜病变的范围。计算机断层扫描以前曾用于描述各种肠系膜异常，最常见的是继发于恶性或炎症性疾病。我们报告了14例弥漫性肠系膜水肿的特征性CT表现。11例患者有低白蛋白血症记录，2例患者有肠系膜上静脉血栓形成，1例患者有肝硬化。能够确诊该病症的CT表现包括肠系膜脂肪密度增加、节段性肠系膜血管边界不清、腹膜后脂肪相对 spared 以及与皮下水肿相关。 （注：原文中“relative sparing of the retroperitoneal fat”中的“sparing”可能有误，推测可能是“spared”，这里暂且按推测翻译为“相对 spared”，你可根据实际情况进一步确认。）
