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[Mesenteric panniculitis simulating Crohn disease]

I Rosa1, R Benamouzig, C Guettier

  • 1Service de Gastro-entérologie, Hôpital Avicenne, Bobigny.

Gastroenterologie Clinique Et Biologique
|January 1, 1996
PubMed
Summary
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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.

Related Experiment Videos

  • 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.