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Primary (retractile) mesenteritis in a child.

C F Davis1, P C Guzzetta, K Patterson

  • 1Department of Pediatric Surgery, Children's National Medical Center, Washington, DC 20010.

Journal of Pediatric Surgery
|December 1, 1992
PubMed
Summary
This summary is machine-generated.

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A rare case of primary retractile mesenteritis caused acute abdominal pain in a 3-year-old boy. Diagnosis was confirmed via biopsy during surgery, with no intestinal resection needed for recovery.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Abdominal Imaging

Background:

  • Primary retractile mesenteritis is a rare condition characterized by inflammation and fibrosis of the small bowel mesentery.
  • It can present with non-specific symptoms, often mimicking surgical emergencies like appendicitis or bowel obstruction.
  • Early diagnosis and appropriate management are crucial to prevent complications.

Observation:

  • A 3-year-old boy presented with acute abdominal pain necessitating surgical intervention.
  • Intraoperative findings revealed hemoperitoneum (blood in the abdominal cavity).
  • A diagnosis of primary retractile mesenteritis was established using intraoperative frozen section biopsy of the small bowel mesentery.

Findings:

  • The diagnosis of primary retractile mesenteritis was confirmed intraoperatively via frozen section biopsy.

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  • The surgical team opted against intestinal resection due to the nature of the findings.
  • The patient experienced an uncomplicated recovery following the surgical exploration.

    • Implications:

    • This case highlights the importance of considering rare diagnoses like primary retractile mesenteritis in pediatric patients with acute abdomen.
    • Intraoperative frozen section biopsy can be a valuable tool for rapid diagnosis in challenging surgical cases.
    • Conservative management, avoiding resection when possible, may lead to favorable outcomes in primary retractile mesenteritis.