Kawashima A, Fishman E K, Hruban R H, Kuhlman J E, Lee R P
Russell H. Morgan Department of Radiology, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Clin Imaging. 1993 Apr-Jun;17(2):112-6. doi: 10.1016/0899-7071(93)90049-s.
Mesenteric panniculitis is a non-neoplastic, inflammatory process affecting the adipose tissue of the mesentery in adults with slight male predilection. Typical computed tomography (CT) or magnetic resonance imaging (MRI) findings are of either diffuse mesenteric infiltration or nodular mesenteric masses. We encountered a case of mesenteric panniculitis in a 26-year-old woman with the left upper quadrant pain and fullness, in which CT and MRI disclosed a large, ill-defined, multilocular cystic mesenteric mass. After surgery, the diagnosis of mesenteric panniculitis was made. The cystic components were dilated lymphatics due to lymphatic and venous obstruction by the mesenteric panniculitis.
肠系膜脂膜炎是一种非肿瘤性炎症过程，影响成人肠系膜的脂肪组织，男性略多见。典型的计算机断层扫描（CT）或磁共振成像（MRI）表现为弥漫性肠系膜浸润或肠系膜结节状肿块。我们遇到一例26岁女性肠系膜脂膜炎患者，有左上腹疼痛和饱胀感，CT和MRI显示一个大的、边界不清的、多房性囊性肠系膜肿块。手术后，确诊为肠系膜脂膜炎。囊性成分是由于肠系膜脂膜炎导致淋巴管和静脉阻塞而扩张的淋巴管。
