Misty Mesentery as an Initial Imaging Finding Suggestive of Large Vessel Vasculitis

Seiji Noda, Saeka Kondo · 2026

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Description

Seiji Noda and Saeka Kondo report a fifty-six-year-old man whose hazy abdominal fat on a CT scan was the first clue to large vessel vasculitis. He arrived with two weeks of fever, headache, and upper abdominal pain, plus scalp tenderness and very high inflammation markers. The initial scan showed increased density in the mesenteric fat, a finding called misty mesentery.

Antibiotics for presumed infection failed and inflammation climbed further. A contrast scan then revealed thickening of the aortic wall, pointing to vasculitis of the large arteries. The authors present misty mesentery as an under-recognized early imaging sign that should prompt a search for large vessel inflammation.

Catalog record

CREATORSeiji Noda, Saeka Kondo
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE3 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13386209

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