Surgery>>>>>Abdominal Wall, Omentum, Mesentery, and Retroperitoneum
Question 13#

Which of the following statements about sclerosing mesenteritis is FALSE? 

A. It is always associated with diffuse abdominal pain
B. It can appear as a mass on CT scan
C. It can improve or resolve without surgical therapy
D. It can be mistaken for primary or metastatic tumor

Correct Answer is A


The etiology of sclerosing mesenteritis is unknown but its cardinal feature is increased tissue density within the mesentery. This can be associated with a discreet non-neoplastic mass or it can be more diffuse involving large swaths of thickened mesentery without well-defined borders. Many cases are discovered incidentally on CT scans performed for unrelated reasons. The process is self-limited and may demonstrate regression on follow-up imaging studies.