Difference between revisions of "Creeping fat"

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*Can be seen radiologically.
*Can be seen radiologically.


==Gross==
===Differential diagnosis===
*Abundant fat, fat on anti-mesenteric side of the bowel.<ref name=pmid15888774>{{Cite journal  | last1 = Schäffler | first1 = A. | last2 = Herfarth | first2 = H. | title = Creeping fat in Crohn's disease: travelling in a creeper lane of research? | journal = Gut | volume = 54 | issue = 6 | pages = 742-4 | month = Jun | year = 2005 | doi = 10.1136/gut.2004.061531 | PMID = 15888774 }}</ref>
Associated with creeping fat:<ref name=pmid18815796>{{Cite journal  | last1 = Golder | first1 = WA. | title = The creeping fat sign-really diagnostic for Crohn's disease? | journal = Int J Colorectal Dis | volume = 24 | issue = 1 | pages = 1-4 | month = Jan | year = 2009 | doi = 10.1007/s00384-008-0585-y | PMID = 18815796 }}</ref>  
 
Note:
*Must have fat on more than 50% of the intestinal surface.<ref name=pmid15888774/>
 
DDx of creeping fat:<ref name=pmid18815796>{{Cite journal  | last1 = Golder | first1 = WA. | title = The creeping fat sign-really diagnostic for Crohn's disease? | journal = Int J Colorectal Dis | volume = 24 | issue = 1 | pages = 1-4 | month = Jan | year = 2009 | doi = 10.1007/s00384-008-0585-y | PMID = 18815796 }}</ref>  
*[[Ulcerative colitis]].  
*[[Ulcerative colitis]].  
*Sclerosing mesenteritis.  
*Sclerosing mesenteritis.  
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*Gastrointestinal complication a renal transplant.  
*Gastrointestinal complication a renal transplant.  
*Idiopathic segmental ureteritis.
*Idiopathic segmental ureteritis.
==Gross==
Features:
*Abundant fat, fat on anti-mesenteric side of the bowel.<ref name=pmid15888774>{{Cite journal  | last1 = Schäffler | first1 = A. | last2 = Herfarth | first2 = H. | title = Creeping fat in Crohn's disease: travelling in a creeper lane of research? | journal = Gut | volume = 54 | issue = 6 | pages = 742-4 | month = Jun | year = 2005 | doi = 10.1136/gut.2004.061531 | PMID = 15888774 }}</ref>
**Must have fat on more than 50% of the intestinal surface.


==See also==
==See also==
*[[Inflammatory bowel disease]].
*[[Inflammatory bowel disease]].
*[[Gastrointestinal pathology]].
*[[Gross pathology]]


==References==
==References==

Revision as of 10:15, 4 July 2013

Creeping fat is a finding in gross pathology closely associated with Crohn's disease. It is also known as fat wrapping and fat hypertrophy.[1]

General

Differential diagnosis

Associated with creeping fat:[2]

  • Ulcerative colitis.
  • Sclerosing mesenteritis.
  • Mesenteric panniculitis.
  • Epiploic appendagitis.
  • Omental infarction.
  • Gastrointestinal complication a renal transplant.
  • Idiopathic segmental ureteritis.

Gross

Features:

  • Abundant fat, fat on anti-mesenteric side of the bowel.[1]
    • Must have fat on more than 50% of the intestinal surface.

See also

References

  1. 1.0 1.1 Schäffler, A.; Herfarth, H. (Jun 2005). "Creeping fat in Crohn's disease: travelling in a creeper lane of research?". Gut 54 (6): 742-4. doi:10.1136/gut.2004.061531. PMID 15888774.
  2. Golder, WA. (Jan 2009). "The creeping fat sign-really diagnostic for Crohn's disease?". Int J Colorectal Dis 24 (1): 1-4. doi:10.1007/s00384-008-0585-y. PMID 18815796.