Mesenteric panniculitis: can venous anatomy and malignancy be a trigger cause?

Authors : Mehmet Ali GÜLTEKİN

Pages : 509-514

Doi:10.18621/eurj.838822

View : 17 | Download : 5

Publication Date : 2021-09-04

Article Type : Research Paper

Abstract :Objectives: To investigate whether portal vein insert ignore into journalissuearticles values(PV);, splenic vein insert ignore into journalissuearticles values(SV);, superior mesenteric vein insert ignore into journalissuearticles values(SMV); diameters and portomesenteric angle insert ignore into journalissuearticles values(PMA); may play a role in the etiology of mesenteric panniculitis insert ignore into journalissuearticles values(MP);. To investigate relationship between MP and malignancy. Methods: We included 70 patients with MP and 70 patients age, gender, sagittal abdominal diameter randomly matched control group, retrospectively. Results: We found slightly higher PV and SMV diameter and slightly lower SV diameter in MP patients compared with control group. But these results were not statistically significant insert ignore into journalissuearticles values( p1 = 0.321 and p2 = 0.147, p1 = 0.540 and p2 = 0.185, p1 = 0.216 and p2 = 0.617, for two observers respectively);. We found higher PMA in MP patients compared with control group but this difference is not statistically significant insert ignore into journalissuearticles values( p1 = 0.252 and p2 = 0.366, for two observers);. Twenty three insert ignore into journalissuearticles values(32.9%); of 70 patients diagnosed MP have underlying malignancy while 17 insert ignore into journalissuearticles values(24.3%); of 70 control subject were coexisted malignancy. But this difference is not statistically significant insert ignore into journalissuearticles values( p = 0.262);. Interobserver agreement was excellent in terms of SMV and SV diameters and PMA measurements insert ignore into journalissuearticles values(ICC were 0.927, 0.911 and 0.965 respectively);, good for PV diameters insert ignore into journalissuearticles values(ICC was 0.884);. Conclusions: Study results show that MP is not associated with PV, SMV and PMA. Contrary to some studies, there is no relationship between MP and malignancy.
Keywords : Mesenteric panniculitis, Computed tomography, Portomesenteric angle, Malignancy