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[Mesenteric panniculitis].

G Piessen1, C Mariette, J-P Triboulet

  • 1Service de Chirurgie Digestive et Générale, Hôpital Claude-Huriez, CHU, place de Verdun 59037, Lille cedex, France.

Annales De Chirurgie
|October 26, 2005
PubMed
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Mesenteric panniculitis is a rare condition affecting the bowel mesentery, causing thickening and shortening. While often asymptomatic, it can present with abdominal pain or obstruction, requiring diagnosis via imaging and biopsy.

Area of Science:

  • Gastroenterology
  • Pathology
  • Radiology

Context:

  • Mesenteric panniculitis, or retractile mesenteritis, is a rare, tumor-like lesion impacting the bowel mesentery.
  • It involves inflammation, necrosis, or fibrosis of mesenteric adipose tissue, with unclear pathophysiology.
  • Associations with inflammatory diseases and malignancies, particularly lymphomas, have been noted.

Purpose:

  • To review the clinical presentation, diagnostic modalities, and management strategies for mesenteric panniculitis.
  • To highlight the role of imaging and histopathology in diagnosis and differential diagnosis.
  • To discuss current treatment approaches and the typical clinical course.

Summary:

  • Mesenteric panniculitis presents as mesenteric thickening and shortening, characterized by inflammation and fibrosis of adipose tissue.

Related Experiment Videos

  • Diagnosis relies on imaging (CT) and pathological examination of biopsies to rule out mimics like infection or malignancy.
  • Management includes anti-inflammatory/immunosuppressive agents for symptomatic cases and surgery for obstruction/ischemia, with a generally favorable prognosis.

    • Impact:

    • Provides a comprehensive overview of mesenteric panniculitis for clinicians.
    • Emphasizes the importance of accurate diagnosis to guide appropriate patient management.
    • Contributes to understanding the clinical course and outcomes of this rare mesenteric disease.