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Updated: Jul 10, 2026

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

[Inusual presentation of mesenteric panniculitis]

S Ruiz García1, M Yedra Alcaraz, N Ortega

  • 1Servicio de Medicina interna, Hospital Virgen de la Arrixaca, Murcia. silviarg77@hotmail.com

Anales De Medicina Interna (Madrid, Spain : 1984)
|November 21, 2007
PubMed

Insights

Mesenteric panniculitis, an inflammation of abdominal fat, can present with fever. This case study shows oral corticosteroids effectively treated evening fever symptoms for two years.

Area of Science:

  • Gastroenterology
  • Pathology

Background:

  • Mesenteric panniculitis is a rare inflammatory condition affecting the abdominal adipose tissue.
  • Clinical presentations vary widely, from asymptomatic cases to severe symptoms like abdominal pain and weight loss.

Observation:

  • This report details a patient whose primary symptom of mesenteric panniculitis was predominantly evening fever.
  • The patient's fever resolved after a two-year course of oral corticosteroids.

Findings:

  • Mesenteric panniculitis can manifest solely as fever, particularly with evening predominance.
  • Corticosteroid therapy demonstrated efficacy in resolving fever associated with mesenteric panniculitis.

Implications:

  • This case suggests corticosteroids may be a viable treatment option for symptomatic mesenteric panniculitis, especially when fever is the main complaint.
  • Further research is needed to establish evidence-based treatment guidelines for mesenteric panniculitis.

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