Difference between revisions of "Creeping fat"
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'''Creeping fat''' is a | '''Creeping fat''' is a [[small bowel]] and/or [[large bowel]] [[gross pathology]] finding.<ref>URL: [http://medical-dictionary.thefreedictionary.com/Creeping+Fat http://medical-dictionary.thefreedictionary.com/Creeping+Fat]. Accessed on: 4 July 2013.</ref> It is closely associated with [[Crohn's disease]]. It is also known as '''fat wrapping''' and '''fat hypertrophy'''.<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> | ||
==General== | ==General== | ||
| Line 6: | Line 6: | ||
*Can be seen radiologically. | *Can be seen radiologically. | ||
== | ===Differential diagnosis=== | ||
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> | |||
*[[Ulcerative colitis]]. | *[[Ulcerative colitis]]. | ||
*Sclerosing mesenteritis. | *Sclerosing mesenteritis. | ||
*Mesenteric panniculitis. | *Mesenteric panniculitis. | ||
*Epiploic appendagitis. | *[[Epiploic appendagitis]]. | ||
*Omental infarction. | *Omental infarction. | ||
*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]] | |||
*[[Serositis]]. | |||
==References== | ==References== | ||
Latest revision as of 14:00, 9 July 2020
Creeping fat is a small bowel and/or large bowel gross pathology finding.[1] It is closely associated with Crohn's disease. It is also known as fat wrapping and fat hypertrophy.[2]
General
- Classically associated with Crohn's disease.
- May be seen ulcerative colitis or in association with other pathologies.
- Can be seen radiologically.
Differential diagnosis
Associated with creeping fat:[3]
- 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.[2]
- Must have fat on more than 50% of the intestinal surface.
See also
References
- ↑ URL: http://medical-dictionary.thefreedictionary.com/Creeping+Fat. Accessed on: 4 July 2013.
- ↑ 2.0 2.1 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.
- ↑ 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.