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Mesenteric panniculitis: case report and literature review
E Parra-Davila1, M G McKenney, D Sleeman
1Jackson Memorial Hospital, Miami, Florida, USA.
Abstract:
Mesenteric panniculitis is an extremely rare inflammatory condition of the adipose tissue of unknown etiology in which the mesentery is replaced with fibrosis. Knowledge of this rare syndrome should prevent any unwarranted aggressive therapy and help to use the clinical, radiological, and surgical sources to obtain the diagnosis. This paper is a review of symptomatology, pathology, treatment, and outcome of this disorder. A case report is described that presented with obstruction of the sigmoid colon.
Insights
Mesenteric panniculitis is a rare inflammatory condition causing fibrosis in the mesentery. Early diagnosis using clinical, radiological, and surgical methods is crucial to avoid aggressive treatments.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Mesenteric panniculitis is an extremely rare inflammatory condition affecting the adipose tissue of the mesentery.
- The exact etiology remains unknown, characterized by progressive fibrosis replacing mesenteric adipose tissue.
Observation:
- This review examines the symptomatology, pathology, treatment, and outcomes of mesenteric panniculitis.
- A specific case report details a patient presenting with sigmoid colon obstruction due to this condition.
Findings:
- Mesenteric panniculitis involves inflammatory infiltration and subsequent fibrosis of the mesentery.
- Clinical presentation can be varied, sometimes mimicking other abdominal pathologies.
Implications:
- Accurate diagnosis of mesenteric panniculitis is essential to guide appropriate management.
- Understanding this rare disorder can prevent unnecessary or aggressive therapeutic interventions.