Mesenteric panniculitis: A case report

Rabti Souphia1, Ben Marzouk Sawssen1, Farjaoui Wael1

  • 1General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.

Abstract

Insights

Mesenteric panniculitis, a rare inflammation of the mesentery, presents with nonspecific symptoms. Early diagnosis via imaging and biopsy, followed by conservative management, is key for this benign condition.

Area of Science:

  • Gastroenterology
  • Radiology
  • Pathology

Background:

  • Mesenteric panniculitis is a rare, benign condition involving chronic inflammation and fibrosis of mesenteric adipose tissue.
  • Its etiology is often unclear but associated with abdominal surgery, trauma, and inflammatory diseases.
  • Understanding its presentation and management is crucial for patient care.

Observation:

  • A case of mesenteric panniculitis in a 49-year-old woman presenting with significant weight loss is detailed.
  • Diagnosis was confirmed through imaging studies and tissue biopsy.
  • Successful symptomatic management was achieved through conservative treatment.

Findings:

  • Mesenteric panniculitis typically presents with nonspecific symptoms like abdominal pain, nausea, and weight loss.
  • Diagnosis relies on characteristic imaging findings, such as the "misty mesentery" on CT scans, and histological confirmation when needed.
  • The condition is generally benign but requires evaluation to rule out malignancy.

Implications:

  • Early recognition and appropriate management of mesenteric panniculitis are essential for optimal patient outcomes.
  • Thorough evaluation is necessary to exclude underlying malignancy.
  • Careful monitoring is required to prevent potential complications associated with this condition.