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05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Sclerosing mesenteritis presenting with complete small bowel obstruction, abdominal mass and hydronephrosis
T Hassan1, M Balsitis, D Rawlings
1Department of Gastroenterology, Crosshouse Hospital, Kilmarnock, KA2 0BE, UK. tuyyabhassan@hotmail.com
Irish Journal of Medical Science
|May 28, 2010
Summary
Sclerosing mesenteritis, an inflammatory bowel condition, can mimic cancer. This case highlights its potential to cause complete small bowel obstruction and hydronephrosis.
Area of Science:
- Gastroenterology
- Abdominal Imaging
- Inflammatory Diseases
Background:
- Sclerosing mesenteritis (SM) is a rare inflammatory disorder affecting the bowel mesentery.
- Its etiology remains poorly understood, contributing to diagnostic challenges.
- SM can be misdiagnosed as neoplastic or other inflammatory conditions.
Observation:
- A patient presented with symptoms suggestive of bowel obstruction.
- Imaging revealed complete small bowel obstruction.
- Right-sided hydronephrosis was also noted, indicating potential complications.
Findings:
- The patient's condition was diagnosed as sclerosing mesenteritis.
- The inflammation of the mesentery led to significant small bowel obstruction.
- The obstruction caused secondary hydronephrosis due to pressure effects.
Implications:
- This case underscores the importance of considering sclerosing mesenteritis in the differential diagnosis of abdominal masses and obstruction.
- Accurate diagnosis is crucial to avoid inappropriate treatment for presumed neoplasia.
- Understanding SM's complications, like hydronephrosis, aids in comprehensive patient management.
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