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[Sclerosing mesenteritis].

B Martina¹, B Marincek

¹Medizinische Universitätsklinik, Inselspital Bern.

Schweizerische Medizinische Wochenschrift

|August 27, 1988

Summary

This summary is machine-generated.

A rare inflammatory fibrous tumor of mesenteric fat tissue was identified. This condition, isolated mesenteric fibrosis, often resolves spontaneously without medical intervention.

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Area of Science:

Gastroenterology
Pathology
Radiology

Background:

Inflammatory fibrous tumors of the mesenteric fat tissue are uncommon.
Systemic idiopathic fibrosis encompasses conditions like retroperitoneal fibrosis.

Observation:

A patient presented with epigastric pain, weight loss, and an abdominal mass.
Diagnosis involved abdominal CT and surgical biopsy, revealing diffuse fibrosis.
The patient had congenital hypoplasia of the leg lymphatic drainage system.

Findings:

The histological feature was diffuse fibrosis, characteristic of isolated mesenteric fibrosis.
Potential causes discussed include autoimmune factors, methysergide use, and lymphatic obstruction.
The patient experienced rapid, spontaneous recovery with tumor regression on CT.

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Implications:

Isolated mesenteric fibrosis is a rare but often self-limiting condition.
Congenital lymphatic hypoplasia may be a contributing factor.
Fatal outcomes are rare, and medical therapy is typically unnecessary.