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[Retractile mesenteritis. Report of 3 cases]
J Girones Vila1, E Alcobilla Ferrara, A Codina Barrera
1Servicio de Cirugía General y del Aparato Digestivo, Hospital de Gerona Dr. Josep Trueta.
Abstract:
Mesenteric panniculitis is an infrequent pathology; the diagnosis is made by the pathologist and it is characterized by inflammation, fibrosis and retraction of the mesenteric fat. We report three new cases of retractile mesenteritis or mesenteric panniculitis, two cases presented with intestinal obstruction and the other had an abdominal tumour. In all cases the pathological diagnosis was retractile mesenteritis.
Insights
Mesenteric panniculitis, a rare condition causing inflammation and fibrosis of mesenteric fat, can present with serious complications. This report details three cases, highlighting its varied clinical presentations and pathological diagnosis.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Mesenteric panniculitis is a rare inflammatory condition affecting the mesenteric adipose tissue.
- Diagnosis relies on histopathological examination, revealing inflammation, fibrosis, and fat retraction.
Observation:
- Three new cases of retractile mesenteritis (mesenteric panniculitis) were identified.
- Two cases presented with symptoms of intestinal obstruction.
- One case mimicked an abdominal tumor.
Findings:
- All three cases were definitively diagnosed as retractile mesenteritis by pathologists.
- The clinical presentations varied, including intestinal obstruction and a mass-like lesion.
Implications:
- This highlights the importance of considering mesenteric panniculitis in the differential diagnosis of abdominal pathologies.
- Pathological confirmation is crucial for accurate diagnosis and management of this infrequent condition.