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Mesenteric Panniculitis and COVID-19: A Rare Association
Israa A Alyousef1, Zainab A Alsaileek1, Manar A Alabdulsalam1
1College of Medicine, Dar Al Uloom University, Riyadh, SAU.
Cureus
|February 21, 2022
Summary
Coronavirus disease 2019 (COVID-19) can manifest with gastrointestinal issues. This case highlights a potential link between mild COVID-19 and mesenteric panniculitis, a rare inflammatory condition.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Radiology
Background:
- Coronavirus disease 2019 (COVID-19) primarily affects the respiratory system but frequently involves the gastrointestinal tract.
- Severe COVID-19 cases are associated with gastrointestinal complications like bowel ischemia and liver enzyme abnormalities.
Observation:
- A 44-year-old woman with mild COVID-19 pneumonia presented with acute abdominal pain, nausea, and vomiting, but no respiratory symptoms.
- Physical examination revealed diffuse abdominal tenderness; laboratory tests and inflammatory markers were normal.
- Abdominal CT scan showed misty mesentery, fat stranding, and mesenteric adenopathy, suggesting mesenteric panniculitis.
Findings:
- The patient was diagnosed with mesenteric panniculitis following mild COVID-19.
- Intravenous corticosteroid therapy led to significant clinical improvement within 24 hours.
Implications:
- This case suggests a possible association between COVID-19 and the development of mesenteric panniculitis.
- Mesenteric panniculitis presents with non-specific symptoms, underscoring the importance of imaging studies for diagnosis.
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