Isolated omental panniculitis in a child with abdominal pain. Case report

Öztan, Mustafa Onur; Özdemir, Tunç; Uncel, Melek; Dınız, Gülden; Köylüoğlu, Gökhan

doi:10.5546/aap.2016.eng.e425

Cited by 2 publications

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References 9 publications

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“…Intra-abdominal panniculitis is a rare entity of unknown etiology characterized by inflammation of abdominal adipose tissue. The most frequently affected site in the abdomen is the small-bowel mesentery, but panniculitis also rarely involves other adipose tissues (omental, retroperitoneal, mesocolonic, peripancreatic, and pelvic) ( 1 , 2 ). Isolated omental panniculitis is a rare form of intra-abdominal panniculitis, mainly involving the mesenteric adipose tissue of the small intestine or colon ( 3 ).…”

Section: Discussionmentioning

confidence: 99%

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Lesser Omental Panniculitis

et al. 2020

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A 44-year-old woman presented to our hospital with abdominal pain. Abdominal ultrasonography and computed tomography showed a mass-like change in the lesser omentum between the liver and stomach. Esophagogastroduodenoscopy revealed a submucosal tumor-like change, and endoscopic ultrasonography (EUS) revealed that the mass was located outside of the stomach wall. We performed EUS fine-needle aspiration and diagnosed panniculitis of the lesser omentum. Based on these findings, we suggest that mass-like lesions in the lesser omentum and submucosal tumor-like changes in the anterior wall on the lesser curvature side of the stomach be evaluated for the possibility of panniculitis of the lesser omentum.

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Section: Discussionmentioning

confidence: 99%

“…The etiology and pathogenesis are unclear, and the pathological characteristics of the disease are nonspecific. In addition, in most reported cases, intra-abdominal panniculitis is found in the mesentery ( 1 , 2 ). Intra-abdominal panniculitis involving the omentum is infrequent.…”

Section: Introductionmentioning

confidence: 99%

Lesser Omental Panniculitis

et al. 2020

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Mesenteric panniculitis in rheumatologist practice

Егорова¹,

Datsina

2023

Sovremennaâ revmatologiâ

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Mesenteric panniculitis (MPn) is a rare form of adipose tissue inflammation, mainly of the intestinal mesentery, less often of the omentum, preand retroperitoneal tissue. There are not many descriptions of MPn in rheumatic diseases in the literature: in systemic lupus erythematosus, systemic sclerosis, Sjogren's syndrome, rheumatoid arthritis (RA), ankylosing spondylitis, mesenteric form (MF) of idiopathic lobular panniculitis (ILPn) and IgG4-related disease (IgG4-RD). Given the polymorphism of clinical manifestations, including systemic ones, it is of interest to look at the problem of MPn from the perspective of a rheumatologist.Objective: to evaluate the clinical and laboratory features of MPn in modern rheumatological practice.Material and methods. The study included 64 patients (19 men and 45 women aged 19 to 76 years, median disease duration 28.6 [0.3; 243] months). Laboratory and instrumental studies were carried out according to a single algorithm, which included standard clinical, immunological methods, as well as the determination of fecal calprotectin and tumor markers, ultrasound of the skin and subcutaneous adipose tissue (SAT), computed tomography of the chest and abdominal organs, abdominal positron emission tomography, pathomorphological examination of biopsies of the skin, pancreas and mesentery.Results and discussion. 89% of patients had abdominal pain, 48.4% had nausea, 53.1% had weakness, 44% had subfebrile fever, 32.8% had articular syndrome, and 29.6% – skin and pancreas involvement. Median ESR was 34 [11; 52] mm/h, CRP level – 14 [2; 72] mg/l. Most of the immunological parameters remained within the normal range, but in some cases there was an increase in the concentration of rheumatoid factor, antibodies to the cyclic citrullinated peptide, IgG4. The level of tumor markers CA 125, CEA, CA 19–9 and TumorM2-PK was increased 2 times or more in 5 patients. In our study, all radiological signs and all degrees of severity of MPn were observed. An additional examination confirmed the presence of MF ILPn, RA, IgG4-RD, gastrointestinal, malignant, hematological and other diseases, which made it possible to identify five diagnostic blocks.Conclusion. Early diagnosis and correct interpretation of the described changes require a lot of work-up and a multidisciplinary approach, which contributes to accurate and timely recognition of the disease.

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Isolated omental panniculitis in a child with abdominal pain. Case report

Cited by 2 publications

References 9 publications

Lesser Omental Panniculitis

Lesser Omental Panniculitis

Mesenteric panniculitis in rheumatologist practice

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