BMJ Case Reports 2013; doi:10.1136/bcr-2013-009305

Another reason for abdominal pain: mesenteric panniculitis

  1. Guner Sonmez2
  1. 1Department of Radiology, Aksaz Military Hospital, Mugla, Turkey
  2. 2Department of Radiology, GATA Haydarpasa Teaching Hospital, Istanbul, Turkey
  3. 3Department of Radiology, School of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
  1. Correspondence to Dr Ali Kemal Sivrioglu, draksivrioglu{at}


A 50-year-old man was admitted to an emergency department with umbilical abdominal pain. His medical history included nothing of particular note. Physical examination revealed a mild abdominal distention and a palpable mass in the left upper quadrant. Laboratory tests only showed increased erythrocyte sedimentation rate (35 mm/h). Abdominal ultrasonography showed multiple mesenteric lymph nodes and increase in the mesenteric echogenicity. On contrast-enhanced abdominal CT imaging, a hyperattenuated fatty mass encasing a misty mesentery (non-specific sign, increased attenuation of the mesentery), multiple mesenteric …

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