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[Bladder infiltration of mesenteric panniculitis]
G González Sanz1, J I Sanz Vélez, A García Omedes
1Servicio de Urología, Hospital General San Jorge, Huesca.
Abstract:
Mesenteric panniculitis is a rare, recently accepted clinical entity which is characterized by the presence of an unspecific inflammatory process in the fat tissue of the gut mesentery. A usually intermittent abdominal pain is the most frequent symptom, whereas urological involvement is exceptional. This paper contributes a new case of mesenteric panniculitis in a 72-year old male patient who initially presented with signs and symptoms of intestinal obstruction resulting from mesenteric tumoration, and affecting a segment of the terminal ileum which, during growth, infiltrated the apex of the bladder leading to its resection. The ultimate diagnosis was histologic. Brief review of the clinical features, as well as the diagnostic and therapeutic procedures.
Insights
Mesenteric panniculitis, a rare inflammatory condition, can exceptionally involve the urinary tract. This case highlights a 72-year-old male with bladder infiltration and obstruction due to mesenteric panniculitis.
Area of Science:
- Gastroenterology
- Inflammatory Diseases
- Surgical Pathology
Background:
- Mesenteric panniculitis is a rare condition involving non-specific inflammation of the mesenteric adipose tissue.
- Abdominal pain is the most common symptom, with urological involvement being exceptionally rare.
Observation:
- A 72-year-old male presented with symptoms of intestinal obstruction.
- The obstruction was caused by mesenteric tumoration affecting the terminal ileum.
- The tumor infiltrated the bladder apex, necessitating its resection.
Findings:
- Histologic examination confirmed mesenteric panniculitis as the underlying diagnosis.
- The case demonstrates an exceptional urological manifestation of mesenteric panniculitis.
Implications:
- This case expands the known clinical spectrum of mesenteric panniculitis.
- It underscores the importance of considering rare diagnoses in complex presentations involving abdominal and urological symptoms.