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Related Concept Videos

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Related Experiment Video

Updated: May 7, 2025

Multimodality Diagnosis of Mesenteric Ischemia
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Sclerosing Mesenteritis Presenting as Intestinal Occlusion: A Case Report.

Miguel E Rodrigues1, João Luís Pinheiro1, Bruno Barbosa1

  • 1General Surgery, Unidade Local de Saúde (ULS) de Viseu Dão-Lafões, Viseu, PRT.

Cureus
|January 6, 2025
PubMed
Summary

Sclerosing mesenteritis is a rare fibrotic disease of the mesentery. This case highlights the importance of considering this condition in patients with nonspecific abdominal pain to ensure accurate diagnosis and appropriate management.

Keywords:
abdominal painhistologic diagnosisimagingincidental findingintestinal occlusionsclerosing mesenteritissurgery

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Area of Science:

  • Gastroenterology and Hepatology
  • Abdominal Imaging
  • Surgical Pathology

Background:

  • Sclerosing mesenteritis is a rare, chronic inflammatory and fibrotic condition affecting the mesenteric adipose tissue.
  • Its etiology is largely unknown, contributing to its low incidence and diagnostic challenges.
  • Clinical presentation is often nonspecific, with abdominal pain being the most common symptom.

Observation:

  • Computed tomography (CT) scans increasingly lead to incidental findings of sclerosing mesenteritis.
  • Diagnosis is definitively established through histological examination.
  • A case of an 82-year-old male with abdominal pain, constipation, and vomiting requiring laparotomy for intestinal occlusion is presented.

Findings:

  • Histological examination confirmed sclerosing mesenteritis in the presented case.
  • The condition is frequently misdiagnosed due to its nonspecific symptoms and imaging findings.
  • Sclerosing mesenteritis generally has a good prognosis with a benign clinical course.

Implications:

  • Sclerosing mesenteritis should be considered in the differential diagnosis for patients with unexplained abdominal pain and non-specific findings.
  • Early consideration can prevent misdiagnosis and unnecessary treatments.
  • Urgent surgical intervention may be required for complications like intestinal obstruction or intractable pain.