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[Mesenteric panniculitis associated with acute pancreatitis: about a case]
Hedfi Mohamed1, Charfi Mehdi1, Messaoudi Ikram1
1Service de Chirurgie Générale Hôpital Des FSI La Marsa, Tunisie.
Abstract:
Mesenteric panniculitis is a nonspecific inflammation involving the mesentery. Its clinical presentation is variable depending on the stage of the disease. Clinical signs are usually pain but half of the patients remain asymptomatic. Palpable abdominal mass, weight loss, nausea and vomiting. There may be an inflammatory syndrome of variable intensity. Panniculitis is suspected based on scan showing hyperdense mesentery with adhesions to adjacent organs. Histologically there is adipocyte degeneration causing foreign body reaction and appear lymphoplasmacytic inflammatory lesions. We report a new case of mesenteric panniculitis associated with acute pancreatitis.
Insights
Mesenteric panniculitis is a rare condition causing inflammation of the mesentery. This case highlights a new association between mesenteric panniculitis and acute pancreatitis.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Mesenteric panniculitis is a rare, nonspecific inflammatory condition affecting the mesentery.
- Its clinical presentation varies, often including abdominal pain, but can be asymptomatic.
Observation:
- Imaging reveals a hyperdense mesentery with adhesions.
- Histological examination shows adipocyte degeneration and lymphoplasmacytic inflammatory lesions.
Findings:
- This report details a novel case of mesenteric panniculitis occurring concurrently with acute pancreatitis.
Implications:
- This association expands the known clinical spectrum of mesenteric panniculitis.
- Further research may elucidate the pathogenetic link between these conditions.
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