La radiologia medica

, Volume 116, Issue 3, pp 351–365 | Cite as

Misty mesentery: a pictorial review of multidetector-row CT findings

  • A. Filippone
  • R. Cianci
  • F. Di Fabio
  • M. L. Storto
Abdominal Radiology / Radiologia Addominale

Abstract

The term “misty mesentery” indicates a pathological increase in mesenteric fat attenuation at computed tomography (CT). It is frequently observed on multidetector CT (MDCT) scans performed during daily clinical practice and may be caused by various pathological conditions, including oedema, inflammation, haemorrhage, neoplastic infiltration or sclerosing mesenteritis. In patients suffering from acute abdominal disease, misty mesentery may be considered a feature of the underlying disease. Otherwise, it may represent an incidental finding on MDCT performed for other reasons. This article describes the MDCT features of misty mesentery in different diseases in order to provide a rational approach to the differential diagnosis.

Keywords

Disease Abdomen Multidetector CT Mesentery 

Misty mesentery ovvero mesentere nebuloso: revisione dei segni alla TC multidetettore

Riassunto

Il termine mesentere nebuloso indica un incremento patologico della densità del tessuto adiposo mesenterico alla tomografia computerizzata (TC). Tale reperto può essere causato da molteplici condizioni patologiche tra cui edema, flogosi, emorragia, infiltrazione neoplastica o panniculite mesenterica. In pazienti con quadro clinico di addome acuto, il mesentere nebuloso può essere considerato un aspetto diagnostico sentinella della patologia sottostante. Talora rappresenta un reperto incidentale in pazienti non acuti, sottoposti ad esame TC per altre ragioni. Con questa revisione ci proponiamo di descrivere le caratteristiche TC del mesentere nebuloso in differenti condizioni patologiche, al fine di fornire un approccio razionale alla diagnosi differenziale.

Parole chiave

Patologia Addome TC multidetettore Mesentere 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References/Bibliografia

  1. 1.
    Mindelzun RE, Jeffrey RB Jr, Lane MJ, Silverman PM (1996) The misty mesentery on CT: differential diagnosis. AJR Am J Roentgenol 167:61–65PubMedGoogle Scholar
  2. 2.
    Seo BK, Ha HK, Kim AY et al (2003) Segmental misty mesentery: analysis of CT features and primary causes. Radiology 226:86–94PubMedCrossRefGoogle Scholar
  3. 3.
    Chopra S, Dodd GD 3rd, Chintapalli KN et al (1999) Mesenteric, omental, and retroperitoneal edema in cirrhosis: frequency and spectrum of CT findings. Radiology 211:737–742PubMedGoogle Scholar
  4. 4.
    Waldmann TA, Steinfeld JL, Dutcher TF et al (1961) The role of the gastrointestinal system in “idiopathic hypoproteinemia”. Gastroenterology 41:197–207PubMedGoogle Scholar
  5. 5.
    Simpson AJ, Amer H (1979) The radiology corner. Segmental lymphangiectasia of the small bowel. Am J Gastroenterol 72:95–100PubMedGoogle Scholar
  6. 6.
    Fakhri A, Fishman EK, Jones B et al (1985) Primary intestinal lymphangiectasia: clinical and CT findings. J Comput Assist Tomogr 9:767–770PubMedGoogle Scholar
  7. 7.
    Horton KM, Corl FM, Fishman EK (1999) CT of nonneoplastic diseases of the small bowel: spectrum of disease. J Comput Assist Tomogr 23:417–428PubMedCrossRefGoogle Scholar
  8. 8.
    Akhan O, Pringot J (2002) Imaging of abdominal tuberculosis. Eur Radiol 12:312–323PubMedCrossRefGoogle Scholar
  9. 9.
    Daskalogiannaki M, Voloudaki A, Prassopoulos P et al (2000) CT evaluation of mesenteric panniculitis: prevalence and associated diseases. AJR Am J Roentgenol 174:427–431PubMedGoogle Scholar
  10. 10.
    Horton KM, Lawler LP, Fishman EK (2003) CT findings in sclerosing mesenteritis (panniculitis): spectrum of disease. Radiographics 23:1561–1567PubMedCrossRefGoogle Scholar
  11. 11.
    Kipfer RE, Moertel CG, Dahlin DC (1974) Mesenteric lipodystrophy. Ann Intern Med 80:582–588PubMedGoogle Scholar
  12. 12.
    Zissin R, Metser U, Hain D, Even-Sapir E (2006) Mesenteric panniculitis in oncologic patients: PET-CT findings. Br J Radiol 79:10–15Google Scholar
  13. 13.
    Sheth S, Horton KM, Garland MR, Fishman EK (2003) Mesenteric neoplasms: CT appearances of primary and secondary tumors and differential diagnosis. Radiographics 23:457–473PubMedCrossRefGoogle Scholar
  14. 14.
    Okino Y, Kiyosue H, Mori H et al (2001) Root of the small-bowel mesentery: correlative anatomy and CT features of pathologic conditions. Radiographics 21:1475–1490PubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2010

Authors and Affiliations

  • A. Filippone
    • 1
  • R. Cianci
    • 1
  • F. Di Fabio
    • 2
  • M. L. Storto
    • 1
  1. 1.Dipartimento di Scienze Cliniche e Bioimmagini, Sezione di Scienze RadiologicheUniversità degli Studi “G. d’Annunzio”ChietiItaly
  2. 2.Casa di Cura Privata PierangeliPiazza Luigi PierangeliPescaraItaly

Personalised recommendations