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Published on: January 19, 2010
[Sclerosing mesenteritis. Report of two cases with different clinical presentation]
P Martínez Odriozola1, N García Jiménez, S Cabeza García
1Servicio de Medicina Interna. Hospital de Basurto. Bilbao, Vizcaya. Spain.
Sclerosing mesenteritis, a rare condition affecting the mesentery, can manifest unusually. This report details two distinct cases, one presenting with intestinal obstruction and another with unexplained fever.
Area of Science:
- Gastroenterology
- Rare Diseases
- Pathology
Background:
- Sclerosing mesenteritis is a rare, chronic mesenteric disease of unknown etiology.
- It presents as either mesenteric panniculitis (fat inflammation) or retractile mesenteritis (fibrotic thickening).
Observation:
- Two unique cases of sclerosing mesenteritis were documented.
- Case 1: Presented with intestinal obstruction, a known complication.
- Case 2: Presented with fever of unknown origin (FUO), an exceptional manifestation.
Findings:
- Sclerosing mesenteritis can present with diverse clinical features.
- Intestinal obstruction is a recognized complication.
- Fever of unknown origin is an exceptionally rare presentation.
Implications:
- Highlights the varied clinical spectrum of sclerosing mesenteritis.
- Emphasizes the importance of considering rare diagnoses in complex cases.
- Suggests further research into the pathophysiology and diverse presentations of this rare disease.
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