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Updated: Jul 10, 2026

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
Summary
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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