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Retractile mesenteritis: initial presentation as colonic obstruction
Radiology
|January 1, 1978
Abstract:
Retroperitoneal fibrosis has been associated with a variety of sclerosing diseases. Among these is the variant known as retractile mesenteritis, which involves predominantly the mesentery of the small intestine and associated vessels; involvement of the mesocolon and the colon is less frequent. Two patients with a dominating clinical picture of colonic obstruction are described. The radiographic presentations were similar and should serve to remind radiologists and clinicians of this entity.
Insights
Retractile mesenteritis, a sclerosing disease, can cause colonic obstruction. Radiologists and clinicians should recognize its radiographic features to aid diagnosis.
Area of Science:
- Gastroenterology
- Radiology
- Pathology
Background:
- Retroperitoneal fibrosis is linked to various sclerosing diseases.
- Retractile mesenteritis is a rare variant predominantly affecting the small intestine mesentery.
Observation:
- This report details two patients presenting with significant colonic obstruction.
- Both patients exhibited similar radiographic findings suggestive of mesenteritis.
Findings:
- Retractile mesenteritis can manifest as a primary cause of colonic obstruction.
- Radiographic imaging plays a crucial role in identifying this condition.
Implications:
- Increased awareness of retractile mesenteritis is needed among clinicians and radiologists.
- Early recognition can improve diagnostic accuracy and patient management for colonic obstruction.