Mezenterik Pannikülit

Peritonun çift katlı tabakası olan mezenterium ince bağırsakları (jejunum ve ileum) karın arka duvarına asar. Mezenterin her iki yüzünde peritonun çift katmanı arasında a.mesenterica superior ve dalları, bunlara eşlik eden venler, lenfatikler, lenf düğümleri, otonom sinir pleksusları, bağ dokusu ve kök civarında daha büyük miktarda bulunan değişik miktarlarda yağ dokusu vardır. Mezenterik pannikülit; yağ nekrozu, kronik inflamasyon ve fibrozis ile karakterize iyi huylu bir hastalıktır. Etiyolojisi net olmamakla birlikte geçirilmiş abdominal cerrahi, malignensiler gibi ilişkilendirildiği pek çok hastalık mevcuttur. Mezenterik pannikülit, semptomsuz seyredebileceği gibi karın ağrısı, abdominal distansiyon, ele gelen kitle, ateş gibi semptomlarla da seyredebilir. Tanısında Laboratuvar tetkikleri non spesifiktir. Tanısı genelde USG ve batın BT ile konulsa da kesin tanıya histopatolojik incelemeler neticesinde ulaşılır. Mezenterik pannikülit de genellikle semptomatik tedaviler uygulanmakla birlikte immünsüpresif ajanlar yada steroidlerin etkili olduğu da bildirilmiştir. Bu çalışmada biz acil servise karın ağrısı şikayeti ile başvuran ve mezenterik pannikülit tanısı konulan üç olguyu sunduk, böylelikle karın ağrısının bu nadir sebebine dikkat çekmek istedik.

Anahtar Kelimeler:

Mezenter, pannikülit, karın ağrısı

Panniculitis of the Mesentery

The mesentery is the double layer of peritoneum that suspends the small intestine (jejunum and ileum) from the posterior wall of the abdomen. The superior mesenteric artery and its branches, accompanying veins, lymphatic, lymph nodes, the autonomic nerve plexuses, with a larger amount of connective tissue and varying amounts of fat tissue around the root of the mesentery, are located between two layers of peritoneum. Mesenteric panniculitis is a benign disorder that characterised by fat necrosis, chronic inflammation, and fibrosis. Although the aetiology is not clear, it is associated with many diseases, such as previous abdominal surgery, and malignancies. Mesenteric panniculitis may be asymptomatic or accompanied by symptoms such as abdominal pain, abdominal distention, palpable mass, and fever. Laboratory tests are non-specific in diagnosis. Although diagnosis of the disease is usually with ultrasound and abdominal CT is definitive, diagnosis is made by histopathological examination. Usually, symptomatic treatments are administered in mesenteric panniculitis; however, immunosuppressive agents or steroids have also been reported to be effective. In this study, we report three cases admitted to the emergency room with abdominal pain and diagnosed as mesenteric panniculitis, to draw attention to the cause of this rare abdominal pain

Keywords:

Mesentery, panniculitis, abdominal pain,

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