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[Mesenteric panniculitis simulating Crohn disease]
I Rosa1, R Benamouzig, C Guettier
1Service de Gastro-entérologie, Hôpital Avicenne, Bobigny.
Abstract:
Mesenteric panniculitis is a rare disease involving the adipose tissue of the mesentery. We report a case of a 27-year-old woman with mesenteric panniculitis, who presented clinical and radiological features mimicking Crohn's disease. In the outcome, she presented a small bowel perforation, unusual in this pathology, and an annexial involvement. This case reminds us of the role of sepsis and repeated abdominal surgery in relation to the pathogenesis of mesenteric panniculitis. We report the first case of mesenteric panniculitis mimicking Crohn's disease.
Insights
Mesenteric panniculitis, a rare adipose tissue disease, can mimic Crohn's disease. This case highlights unusual small bowel perforation and annexial involvement, suggesting sepsis and surgery as potential causes.
Area of Science:
- Gastroenterology
- Abdominal Imaging
- Surgical Pathology
Background:
- Mesenteric panniculitis is a rare inflammatory condition affecting the mesenteric adipose tissue.
- It can present with non-specific symptoms, posing diagnostic challenges.
- Differential diagnosis often includes conditions like inflammatory bowel disease.
Observation:
- A 27-year-old woman presented with clinical and radiological findings suggestive of Crohn's disease.
- The patient subsequently developed a small bowel perforation, an uncommon complication of mesenteric panniculitis.
- Annexial involvement was also noted in this case.
Findings:
- The case underscores the potential for mesenteric panniculitis to mimic Crohn's disease.
- Small bowel perforation and annexial involvement are unusual manifestations.
- Sepsis and prior abdominal surgery are implicated as potential contributors to pathogenesis.
Implications:
- This case emphasizes the importance of considering mesenteric panniculitis in the differential diagnosis of suspected Crohn's disease.
- Recognizing atypical presentations is crucial for appropriate management.
- Further research into the pathogenesis of mesenteric panniculitis, particularly its association with sepsis and surgery, is warranted.