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[Retractile mesenteritis after resection of Meckel's diverticulum]
P Holzberger1, M Türtscher, F Stoss
1Universitätsklinik für Chirurgie, Universität Innsbruck.
Deutsche Medizinische Wochenschrift (1946)
|March 17, 2000
Summary
Retractile mesenteritis, a rare benign condition, can cause severe abdominal pain and intestinal obstruction. Early diagnosis and corticosteroid treatment are crucial for symptom resolution.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Retractile mesenteritis is a rare benign condition affecting the mesentery.
- It often presents with abdominal pain and can lead to intestinal obstruction.
Observation:
- A 22-year-old male presented with epigastric pain and vomiting, showing signs of small intestine ileus.
- Initial conservative treatment failed, leading to exploratory laparotomy which revealed an invaginated Meckel's diverticulum.
- Postoperative complications included recurrent ileus and small bowel volvulus, necessitating further surgeries.
Findings:
- A third laparotomy identified stage III retractile mesenteritis with a thickened mesentery.
- Histological re-examination confirmed stages I, II, and III retractile mesenteritis from sequential resections.
- The patient's condition improved significantly with high-dose corticosteroids.
Implications:
- This case highlights the diagnostic challenges and progressive nature of retractile mesenteritis.
- Prompt histological diagnosis via laparotomy is essential for identifying this rare mesenteric disease.
- Corticosteroid therapy is the recommended treatment for retractile mesenteritis, leading to symptom remission.