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Multimodality Diagnosis of Mesenteric Ischemia
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A Case Report of Mesenteric Panniculitis.
Parth Mehta1, Anil Kumar Reddy Reddivari1, Mansoor Ahmad1
1Internal Medicine, University of Illinois College of Medicine, Peoria, USA.
Cureus
|February 5, 2020
Summary
This case report highlights a patient with alcohol abuse who developed acute pancreatitis and was incidentally diagnosed with mesenteric panniculitis. The findings emphasize the importance of abdominal imaging in evaluating gastrointestinal symptoms.
Area of Science:
- Gastroenterology
- Radiology
- Abdominal Imaging
Background:
- Alcohol abuse is a common cause of acute pancreatitis.
- Mesenteric panniculitis is a rare inflammatory condition affecting the mesentery.
- Co-occurrence of these conditions requires careful diagnostic evaluation.
Observation:
- A 33-year-old male with a history of alcohol abuse presented with nausea, vomiting, and abdominal pain.
- Elevated lipase and ethanol levels indicated acute pancreatitis.
- CT scan revealed peripancreatic fat stranding and mesenteric abnormalities suggestive of mesenteric panniculitis.
Findings:
- The patient was diagnosed with mild acute uncomplicated pancreatitis.
- CT findings were consistent with mesenteric panniculitis, characterized by clustered mesenteric nodes and altered fat appearance.
- Alcohol abuse was identified as a likely contributing factor to pancreatitis.
Implications:
- This case underscores the potential for incidental findings of mesenteric panniculitis during abdominal imaging for pancreatitis.
- Understanding the interplay between alcohol abuse, pancreatitis, and mesenteric panniculitis is crucial for comprehensive patient management.
- Further research may elucidate sharedPathophysiological mechanisms or risk factors for these conditions.
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