An unusual presentation of sclerosing mesenteritis mimicking inflammatory bowel disease in a teenager

Parampalli, Umesh; Banerjee, Saswata; Dey, Sunayana R; Saeed, I.; Khoo, David

doi:10.1258/shorts.2011.010073

Cited by 3 publications

(4 citation statements)

References 11 publications

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“…3,6,7 SM has varied symptoms which include intermittent abdominal pain (34.6%), abdominal mass (30.8%), nausea/vomiting, weight loss, altered bowel habits, with or without fever. 3,6,8,9 Complete blood count, peripheral blood film, ESR, serum C-reactive protein, amylase, lipase, liver and renal function tests and autoimmune profile is usually insignificant in classical SM. 8 CT findings of SM are variable and may be seen as increased attenuation ("misty mesentery"), to a solid soft-tissue mass in the small bowel mesentery.…”

Section: Discussionmentioning

confidence: 99%

Sclerosing Mesenteritis - An Arduous Task for C Linicians: Rare Case Report

Shankar¹,

Patil²,

Katti³

et al. 2014

jebmh

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Sclerosing mesenteritis (SM) is a rare, chronic, benign fibrosing condition of small and large bowel mesentery, found incidentally in half of reported cases. This disease generally has an indolent course, eventually may present with significant morbidities and unusually, death. 1,2 Among the mesentery attached to small and large bowel, SM mainly affects that surrounding small intestine and only rarely the mesentery around the latter. Its etiology is unknown, while the pathogenesis is obscure and pathological characteristics of the disease are nonspecific. 3 Patients may have varied clinical manifestations and present with abdominal pain, fever, chylous ascites, abdominal mass, constipation, gastrointestinal bleeding or diarrhoea and in rare cases, with small bowel obstruction. As clinical presentations and imaging patterns are nonspecific, a proper coordination between radiologists, surgeons and pathologists is essential and only histopathological analysis, provides a sound diagnosis of SM masses. 1,2 As very few cases have been reported in literature, we hereby document a rare and interesting case of SM of small bowel in an elderly female.

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Section: Discussionmentioning

confidence: 99%

Sclerosing Mesenteritis - An Arduous Task for C Linicians: Rare Case Report

Shankar¹,

Patil²,

Katti³

et al. 2014

jebmh

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“…It is by two times more common in men, white race, while very rare in children 11,12 . It is by two times more common in men, white race, while very rare in children 11,12 .…”

Section: Discussionmentioning

confidence: 99%

Sclerosing mesenteritis as a rare cause of upper ileus

et al. 2013

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“…5) fanden sich retikuläre und mikro- [6, 14 -16]. Tritt die Erkrankung im Jugendalter auf, so kann die Differenzierung gegenüber einer chronisch entzündlichen Darmerkrankung klinisch und manchmal auch in der Bildgebung Schwierigkeiten bereiten [17]. Im höheren Alter besteht meist das Problem der Differenzierung gegenüber malignen Neoplasien [18,19].…”

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“…Ein verstärktes Kontrastmittelenhancement besteht in der Regel nicht. Die bei 60 % der Patienten zu beobachtende Pseudokapsel des Tumors um die Gewebsmassen zeigt in 75 % ein typisches Fett-Ring-Zeichen von hypodensem Fettgewebe um die mesenterialen Lymphknoten und Gefäße gelegen [17]. Die primäre Diagnose eines Befalls mit Oxyuren ließ uns den endoskopischen Lokalbefund im Dünndarm primär als allergische Begleitreaktion bewerten.…”

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Enteroskopie und Bildgebung bei sklerosierender Mesenteritis

Gottschalk¹,

Nitzsche²,

Felber

et al. 2012

Z Gastroenterol

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Sclerosing mesenteritis is a rare, benign, and chronic fibrosing inflammatory disease of the mesenteric fatty tissue. Its aetiology is unknown. In the present report we describe a 56-year-old women who presented with postprandial abdominal pain, and weight loss. Ultrasound, computed tomography, and magnetic resonance imaging revealed a mesenteric mass of 15 cm. The findings were typical for this disease. Additionally the patient underwent a single ballon enteroscopy in which the mucosa showed a considerable hyperergic reaction. The histological examination of the ileum was appropriate to support the suspicion. The patient's symptoms responded to a therapy with tamoxifen.

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An unusual presentation of sclerosing mesenteritis mimicking inflammatory bowel disease in a teenager

Cited by 3 publications

References 11 publications

Sclerosing Mesenteritis - An Arduous Task for C Linicians: Rare Case Report

Sclerosing Mesenteritis - An Arduous Task for C Linicians: Rare Case Report

Sclerosing mesenteritis as a rare cause of upper ileus

Enteroskopie und Bildgebung bei sklerosierender Mesenteritis

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