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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.
Introduction And Importance:
Mesenteric panniculitis is a rare, benign condition characterized by chronic inflammation and fibrosis of mesenteric adipose tissue (Hussein and Abdelwahed, 2015; Gögebakan et al., 2018 [1, 2]). While its etiology remains unclear in many cases, it has been associated with various conditions including abdominal surgery, trauma, and inflammatory diseases (Buragina et al., 2019 [3]). Understanding its presentation and management is crucial for proper patient care.
Case Presentation:
We present a case of mesenteric panniculitis in a 49-year-old woman who presented with significant weight loss. The diagnosis was confirmed through imaging studies and tissue biopsy, with successful symptomatic management through conservative treatment.
Clinical Discussion:
The condition typically presents with nonspecific symptoms including abdominal pain, nausea, and weight loss, though it may be discovered incidentally. Diagnosis relies on a combination of imaging findings, particularly the characteristic "misty mesentery" appearance on CT scan, and when indicated, histological confirmation.
Conclusion:
Early recognition and appropriate management of mesenteric panniculitis are essential for optimal outcomes. While usually benign, the condition requires thorough evaluation to exclude underlying malignancy and careful monitoring to prevent complications.
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.
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