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[Post-operative sclerosing mesenteritis].

H Frickmann1, S Jungblut, N Holzknecht

  • 1Urologische Klinik, Katharina-Kasper-Kliniken, St. Elisabethen-Krankenhaus, Ginnheimer Strasse 3, 60487, Frankfurt/M., Deutschland. Frickmann@em.uni-frankfurt.de

Der Urologe. Ausg. A
|October 7, 2006
PubMed
Summary
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A rare case of acute sclerosing mesenteritis developed after abdominal surgery, presenting as a palpable abdominal tumor. Treatment with prednisone and nutritional support led to symptom improvement.

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.

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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.