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Published on: July 21, 2023
Idiopathic Isolated Mesenteric Panniculitis: A Case Report of a Rare Adipose Tissue Disease
Dina Z Al Shaltouni1, Bassem Abou Hussein2, Batool A Sawan1
1General Surgery, Rashid Hospital / Dubai Medical College, Dubai, ARE.
Abstract:
Mesenteric panniculitis belongs to a spectrum of rare diseases affecting the fatty tissue of the mesentery. It is characterized by chronic inflammation and fibrosis of the mesenteric adipose tissue of the bowel. Patients typically present with symptoms such as abdominal pain, nausea, vomiting, anorexia, bloating, and weight loss. Computed tomography (CT) is commonly used for diagnosis in most cases. We present a case of a 42-year-old male who experienced a significant escalation of abdominal pain over a 24-hour period. Despite seeking medical care at multiple hospitals and being prescribed analgesics, his pain remained unrelieved. Based on CT findings and the worsening pain, mesenteric panniculitis was suspected, leading to a diagnostic laparoscopy that confirmed the diagnosis. The patient was treated for idiopathic isolated mesenteric panniculitis during his hospital stay and was subsequently discharged. This article emphasizes the importance of considering mesenteric panniculitis as a possible differential diagnosis in patients with nonspecific abdominal pain, to avoid overlooking this condition.
Insights
Mesenteric panniculitis, a rare disease causing inflammation and fibrosis of the bowel
Area of Science:
- Gastroenterology
- Rare Diseases
- Abdominal Imaging
Background:
- Mesenteric panniculitis is a rare condition affecting the bowel's fatty tissue.
- It involves chronic inflammation and fibrosis, leading to symptoms like abdominal pain, nausea, and weight loss.
- Computed tomography (CT) is often used for diagnosis.
Observation:
- A 42-year-old male presented with severe, unrelieved abdominal pain over 24 hours.
- Despite multiple medical visits and analgesics, his pain persisted.
- CT scans suggested mesenteric panniculitis, prompting a diagnostic laparoscopy.
Findings:
- Diagnostic laparoscopy confirmed idiopathic isolated mesenteric panniculitis.
- The patient received treatment and was discharged.
Implications:
- This case highlights the importance of considering mesenteric panniculitis in patients with unexplained abdominal pain.
- Early consideration can prevent diagnostic delays for this rare condition.
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