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Sclerosing mesenteritis: A case of acute abdomen and intestinal obstruction
Abstract:
Sclerosing mesenteritis (SM) is a rare idiopathic disorder characterized by chronic non-specific inflammation involving the adipose tissue of the bowel mesentery. It may be asymptomatic but it commonly presents with abdominal pain. Some individuals may have a palpable abdominal mass and affected individuals may develop small bowel obstruction or acute abdomen. We report a case of 27-year old man who presented to the Surgery Department at Chukwuemeka Odimegwu Ojukwu University Teaching Hospital (COOUTH), Amaku Awka, Anambra State with acute abdomen and intestinal obstruction. He subsequently, had a surgical resection, which was histologically confirmed as a sclerosing mesenteritis. Sclerosing mesenteritis is a rare disorder and this is the first case being reported in the literature from South-East, Nigeria.It is therefore, important to alert physicians, more especially the surgeons on the need to have a high index of suspicion in every case of intestinal obstruction.
Insights
Sclerosing mesenteritis (SM), a rare inflammatory condition, can cause acute abdomen and intestinal obstruction. This case highlights the importance of considering SM in patients with these symptoms, especially in South-East Nigeria.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Sclerosing mesenteritis (SM) is a rare idiopathic disorder involving chronic inflammation of the bowel mesentery's adipose tissue.
- It can present asymptomatically or with symptoms like abdominal pain, a palpable mass, small bowel obstruction, or acute abdomen.
Observation:
- A 27-year-old male presented with acute abdomen and intestinal obstruction at Chukwuemeka Odimegwu Ojukwu University Teaching Hospital (COOUTH), Anambra State, Nigeria.
- Surgical resection was performed, and histological examination confirmed sclerosing mesenteritis.
Findings:
- This case represents the first reported instance of sclerosing mesenteritis in South-East Nigeria.
- The patient's presentation with acute abdomen and intestinal obstruction was consistent with known SM manifestations.
Implications:
- This report underscores the need for increased physician awareness of sclerosing mesenteritis, particularly among surgeons.
- A high index of suspicion for SM is crucial in diagnosing and managing cases of intestinal obstruction, especially in underreported regions.
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