[Post-operative sclerosing mesenteritis]

Area of Science:

• Gastroenterology
• Abdominal Surgery
• Pathology

Background:

• Sclerosing mesenteritis is a rare benign chronic inflammatory disease of the mesentery.
• Acute presentations of sclerosing mesenteritis are uncommon, especially following abdominal surgery.

Observation:

• A patient developed acute diffuse abdominal symptoms post-operatively.
• A hard abdominal tumor was detected in the left mid and lower abdomen.
• Histological examination revealed significant fibrosis and ectopic bone formation.

Findings:

• The case represents the first description of acute sclerosing mesenteritis occurring after abdominal operations.
• Histopathology confirmed the presence of fibrosis and bone tissue within the mesentery.
• Prednisone therapy and high-calorie infusions resulted in clinical improvement.

Implications:

• This case highlights a potential, albeit rare, complication of abdominal surgery.
• Early recognition and prompt treatment, including corticosteroids and nutritional support, may be crucial for managing acute sclerosing mesenteritis.
• Further research is warranted to understand the pathogenesis and optimal management strategies for this condition.