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Ultrasound and computed tomography in the evaluation of mesenteric lesions: A pictorial review


Snehal I. Kose
Sapna Singh
Anju Garg
Alpana Manchanda
Rajdeep Singh

Abstract

The mesentery is a broad fan-shaped fold of peritoneum that suspends the loops of small intestine from the posterior abdominal wall.  Although primary neoplasms arising in the mesentery are rare, the mesentery is a major avenue for the dissemination of tumours, which can spread through hematogenous, lymphatic, direct or peritoneal seeding. Imaging helps in the diagnosis of these tumours and aids in  directing appropriate treatment by assessing their size, extent and relationship with adjacent structures. The aim of this article is to describe the spectrum of imaging findings of the various mesenteric lesions using ultrasound and CT.


Contribution: Evaluation of the  mesentery is often neglected during routine ultrasound (US) because of inadequate training and unfamiliarity with the common US  features encountered with mesenteric disease. CT plays an essential role in the diagnosis of mesenteric disease. Knowledge of imaging  characteristics of various mesenteric lesions helps in timely diagnosis and management. 


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eISSN: 2078-6778
print ISSN: 1027-202X