Eddy Oleko EKUKE, Fatoumata Djouldé DİALLO, El Bachir BENJELLOUN, Benajah DAFR-ALLAH

Mezenterik pannikülit: Olgu sunumu

Nadir ve az belgelenmiş mezenterik pannikülit (MP), mezenterlerin yağ dokusunu etkileyen spesifik olmayan inflamasyon ile karakterizedir. Modern görüntüleme, bilgisayarlı tomografi ve özellikle manyetik rezonans görüntüleme, işte çok faydalı olabilir ve bu nedenle bu affinasyonun pozitif teşhisi için gerekli olan gereksiz laparotomiyi azaltır. Patoloji incelemesi, özellikle liposarkom başta olmak üzere önemli farklılıkları ortadan kaldırdığı için hala gereklidir. Bu, görüntüleme kılavuzluğunda biyopsi ile sağlanabilir. Bu yazıda, 43 yaşında bir hastada sklerozan mezenterit vakası sunulmuştur.

Anahtar Kelimeler:

Mezenterik pannikülit, Sklerozan mezenterit

Mesenteric panniculitis: Case report

Rare and poorly documented, mesenteric panniculitis (MP) is characterized by nonspecific inflammation affecting adipose tissue of the mesentery. Modern imaging, computed tomography and especially magnetic resonance imaging can be very useful in the workup thus reducing unnecessary laparotomy hitherto required for the positive diagnosis of this affection. Pathology examination still remains necessary as it eliminates key differentials notably liposarcoma. This could be achieved through imaging-guided biopsy. We hereby report a case of sclerosing mesenteritis in a 43 years old patient.

Keywords:

Mesenteric panniculitis, Sclerosing mesenteritis,

PDF

___

1. Gu G-L, Wang S-L, Wei X-M, Ren L, Li D-C, Zou F-X. Sclerosing mesenteritis as a rare cause of abdominal pain and intraabdominal mass: a cases report and review of the literature. Cases Journal. 2008;1:242.
2. MacVicar D, Husband JE, Taylor R, Menzies-Gow N, Cunningham D. Intra-abdominal panniculitis can mimic recurrent stomach carcinoma. Clinical Oncology. 1992;4:194-5.
3. Jerraya H, Khalfallah M, Nouira R, Dziri C. Mesenteric Panniculitis: An Unusual Cause of Epigastric Pain. Journal of Clinical and Diagnostic Research. 2015;9:PJ01.
4. Kipfer RE, Moertel CG, Dahlin DC. Mesenteric lipodystrophy. Annals of Internal Medicine. 1974;80:582-8.
5. Cooper CJ, Silverman PM, Forer L, Stull MA. Mesenteric panniculitis. American Journal of Roentgenology. 1990;154:1328-9.
6. Sauvaget F, Piette JC, Galezowski N, Jouanique C, Chapelon C, Blétry O, Herreman G, Godeau P. Polychondrite atrophiante et panniculite mésentérique : à propos de 2 cas. Rev Med Interne. 1993;14:253-6.
7. Daskalogiannaki M, Voloudaki A, Prassopoulos P, Magkanas E, Stefanaki K, Apostolaki E, et al. CT evaluation of mesenteric panniculitis: prevalence and associated diseases. American Journal of Roentgenology. 200;174:427–31.
8. Kawashima A, Fishman EK, Hruban RH, Kuhlman JE, Lee RP. Mesenteric panniculitis presenting as a multilocular cystic mesenteric mass: CT and MR evaluation. Clinical Imaging. 1993;17:112-6.
9. Badiola-Varela CM, Sussman SK, Glickstein MF. Mesenteric panniculitis: findings on CT, MRI, and angiography: Case report. Clinical Imaging. 1991;15:265-67.
10. Kakitsubata Y, Umemura Y, Kakitsubata S, Tamura S, Watanabe K, Abe Y, Hatakeyama K. CT and MRI manifestations of intraabdominal panniculitis. Clinical Imaging. 1993;17:186-8.
11. Andersen JA, Rasmussen NR, Pedersen JK. Mesenteric panniculitis: a fatal case. Am J Gastroenterol. 1982 Jul;77(7):523-5.