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Mesenteric panniculitis: various presentations and treatment regimens

Iyad Issa1, Hassan Baydoun

  • 1Department of Gastroenterology & Hepatology, Rafik Hariri University Hospital, Beirut 2034-7304, Lebanon. iyadissa71@gmail.com

World Journal of Gastroenterology
|August 13, 2009
PubMed

Insights

Mesenteric panniculitis, a rare inflammatory disease, presents unique diagnostic and treatment challenges. This report details two cases, highlighting varied approaches and successful outcomes for this uncommon condition.

Area of Science:

  • Gastroenterology and Surgical Pathology
  • Abdominal Imaging and Interventional Radiology
  • Inflammatory and Fibrotic Diseases

Background:

  • Mesenteric panniculitis is a rare, benign, chronic inflammatory condition affecting the mesentery.
  • Its etiology remains unknown, posing diagnostic and therapeutic challenges.
  • Diagnosis typically involves computed tomography (CT) and surgical biopsies.

Observation:

  • Two distinct cases of mesenteric panniculitis with varied clinical presentations were observed.
  • Different treatment regimens were employed based on individual patient presentations.
  • Computed tomography (CT) and surgical biopsies were crucial for diagnosis.

Findings:

  • Both patients demonstrated an adequate response to their respective, individualized treatment strategies.
  • The study compares diverse presentations, potential etiologies, and therapeutic options for mesenteric panniculitis.
  • Surgical resection, while sometimes attempted, has limitations in definitive treatment.

Implications:

  • This case series provides insights into managing mesenteric panniculitis with varied approaches.
  • Understanding different presentations aids in tailoring empirical treatment regimens.
  • Further research may elucidate the etiology and optimize treatment protocols for this rare disease.

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