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Mesenteric Panniculitis With Lupus Demonstrated on 18F-FDG PET/CT

Bourgeois, Sophie, MD; Van den Eeckhaut, Anja, MD; De Geeter, Frank, MD, PhD

doi: 10.1097/RLU.0000000000002306
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We describe the 18F-FDG PET/CT findings in a rare case of mesenteric panniculitis caused by systemic lupus. A previous CT had raised suspicion of a space-occupying lesion in the left hypochondrium in a context of aspecific constitutional symptoms and inflammatory parameters. The diagnosis of panniculitis was confirmed at laparoscopic biopsy directed by the PET findings. Follow-up 18F-FDG PET/CT after 1 month of corticosteroid therapy showed complete disappearance of the abdominal hypermetabolic foci.

From the Department of Nuclear Medicine, Algemeen Ziekenhuis Sint-Jan Brugge-Oostende, Oostende, Belgium.

Received for publication June 25, 2018; revision accepted August 28, 2018.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Frank de Geeter, MD, PhD, Department of Nuclear Medicine, Algemeen Ziekenhuis Sint-Jan Brugge-Oostende, Ruddershove 10, B-8000 Brugge, Belgium. E-mail: frank.degeeter@azsintjan.be.

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