CASE REPORT: 50 YEARS OLD WITH MALE PANICULITIS MESENTERIC
DOI:
https://doi.org/10.52428/20756208.v11i26.529Keywords:
Mesenteric panniculitis, Abdominal pain, Acute abdomen, Computed tomographyAbstract
Mesenteric panniculitis is a, rare, chronic inflammatory disease with focal or multifocal affection of the bowel mesentery adipose tissue of unknown cause, with a demonstrated predilection for the small intestine. Less than 300 cases have been described in the medical literature so far.
In the cases that have been described, it is often associated with other noncommunicable diseases, such as autoimmune disorders (vasculitis, rheumatoid arthritis, granulomatous diseases) and neoplastic or inflammatory processes. This can guide us to propose an autoimmune response to unknown sources or an ischemic response of the mesentery as a pathogenic mechanism. The symptoms caused by this disease are non-specific; they include abdominal pain, fatigue, changes in bowel movement, weight loss and others.
Some studies estimate that about 90% of diagnoses of this disease are incidental findings in CT scans in conditions not associated with the panniculitis, or during abdominal surgery by laparoscopy or laparotomy. In our center, a 50 year-old male was histopathologically diagnosed with MP, with a clinical picture compatible with a partial high bowel obstruction and with the suspicion of bowel Iymphoma. The patient was successfully treated with corticosteroid administration after the diagnosis.
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Copyright (c) 2016 odrigo S. Mariño Ortiz , Juan J. Peñaranda Molina y Lydia M. Hernández Gaillard
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