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Mesenteric panniculitis patients requiring emergency surgery: report of three cases

Mustafa Duman1, Osman Koçak, Olgaç Fazli

  • 1Kilis State Hospital, Department of General Surgery, Kilis, Turkey. drugurduman@yahoo.com

The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology
|June 19, 2012
PubMed

Insights

Mesenteric panniculitis, a rare inflammation of the small bowel mesentery, often mimics obstruction or ischemia. This case series highlights diagnostic challenges and the need for emergency surgery in affected patients.

Area of Science:

  • Gastroenterology
  • Abdominal Surgery

Background:

  • Mesenteric panniculitis is a rare, benign inflammatory condition affecting mesenteric fat tissue, primarily the small bowel mesentery.
  • Its etiology remains unknown, and it can present with diverse abdominal symptoms.
  • Preoperative diagnosis can be challenging due to overlapping symptoms with bowel obstruction or ischemia.

Observation:

  • This article presents three cases of mesenteric panniculitis involving the small bowel mesentery.
  • All cases presented with symptoms mimicking small bowel obstruction or ischemia.
  • Diagnostic difficulties were encountered preoperatively in all instances.

Findings:

  • The three cases required emergency abdominal surgery.
  • Partial jejunal resection was performed in all cases.
  • The clinical presentation often imitated more common surgical emergencies.

Implications:

  • This study underscores the importance of considering mesenteric panniculitis in the differential diagnosis of acute abdominal conditions.
  • Timely surgical intervention may be necessary despite diagnostic challenges.
  • Further research into the etiology and optimal management of mesenteric panniculitis is warranted.

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