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Published on: June 23, 2009
[Mesenteric panniculitis in the differential diagnosis of abdominal pain]
A de la Peña Fernández1, J R Yuste Ara, O Beloqui Ruiz
1Departamento de Medicina Interna, Clínica Universitaria de Navarra, Pamplona.
Abstract:
Mesenteric panniculitis is a rare disease affecting adipose tissue of the mesentery that may result in the development of large masses in the abdomen. Diffuse chronic or intermittent abdominal pain is the most frequent symptom. It usually follows a benign course though surgery is sometime needed. We describe a patient with recurrent abdominal pain who was diagnosed of mesenteric panniculitis. An abdominal CT scan oriented to the diagnosis and an open laparotomy and biopsy was needed for a definitive diagnosis. A brief review of the literature is added.
Insights
Mesenteric panniculitis, a rare condition affecting abdominal adipose tissue, can cause significant pain and masses. Diagnosis often requires advanced imaging like CT scans and biopsy for confirmation.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Pathology
Background:
- Mesenteric panniculitis is a rare inflammatory condition affecting the abdominal mesentery.
- It involves the proliferation of adipose tissue, potentially leading to mass formation.
- Chronic or intermittent abdominal pain is a hallmark symptom.
Observation:
- This report details a case of recurrent abdominal pain attributed to mesenteric panniculitis.
- Diagnostic procedures included computed tomography (CT) scanning of the abdomen.
- A definitive diagnosis was established via open laparotomy and subsequent biopsy.
Findings:
- Mesenteric panniculitis can present with abdominal masses and pain.
- CT imaging aids in diagnosis, but surgical biopsy is definitive.
- The condition typically follows a benign clinical course, though intervention may be necessary.
Implications:
- Accurate diagnosis of mesenteric panniculitis is crucial for appropriate patient management.
- Understanding the role of imaging and biopsy in diagnosis is important for clinicians.
- Further literature review supports current understanding and management strategies for this rare disease.
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