Mesenteric panniculitis patients requiring emergency surgery: Report of three cases

Duman, Mustafa; Koçak, Osman; Fazli, Olgaç; Koçak, Cengiz; Atici, Ali Emre; Duman, Uğur

doi:10.4318/tjg.2012.0284

Cited by 9 publications

(7 citation statements)

References 14 publications

(33 reference statements)

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“…Similar to adults, the most common finding in children is abdominal pain, sometimes presenting as acute abdomen, leading to surgical intervention. 2,[21][22][23] Two of the cases in this paper presented with signs and symptoms of acute abdomen, one of them had a preliminary diagnoses of appendicitis resulting in surgical intervention the other patient received an explorative laparotomy.…”

Section: Discussionmentioning

confidence: 94%

Pediatric mesenteric panniculitis: three cases and a review of the literature

et al. 2019

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Mesenteric panniculitis is an inflammatory and fibrotic process in the mesenteric adipose tissue with unknown etiology. It is rarely seen in general, particularly in children. Etiology is unknown, and pathophysiology is not clear. Factors that trigger the disease are malignancy, tuberculosis, trauma, medications and past surgical interventions. There is no pediatric case series in the literature except single case reports. This paper consists of 3 cases: The first case is a 5-month-old girl, the youngest patient in the literature, who was referred to a pediatric surgeon with vomiting and abdominal distention. She had diffused intraabdominal fluid and mesenteric panniculitis documented by perioperative biopsy. The second case had acute abdominal pain with perforated appendicitis, who eventually had mesenteric panniculitis in the evaluation of the pathological specimen. The last case had a diagnosis of polyarticular juvenile idiopathic arthritis (JIA), successfully treated with etanercept, and has been in remission for 2 years. Interestingly, in one of her routine visits, she had pallor, anemia and renal failure. Bilateral hydronephrosis was detected. Magnetic resonance imaging (MRI) of the abdomen revealed retroperitoneal fibrosis, and mesenteric panniculitis was the histopathological diagnosis.

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Section: Discussionmentioning

confidence: 94%

Pediatric mesenteric panniculitis: three cases and a review of the literature

et al. 2019

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“…The patient in the present case had no clinical manifestations of disease, nor did his laboratory studies exhibit specific abnormalities. The most common symptoms of the disease include fever, abdominal pain, abdominal mass, and weight loss [ 1 – 3 , 5 ]; however, these symptoms are nonspecific and are associated with numerous other diseases [ 4 ]. Laboratory studies may show an elevated white blood cell count and/or erythrocyte sedimentation rate or anemia but are also unhelpful with respect to making a definitive diagnosis of the disease [ 4 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Sclerosing mesenteritis is non-specific inflammatory mass-forming lesion in the mesenteric connective tissue that is characterized by variable degrees of fibrosis, chronic inflammation, and fat necrosis [ 1 – 5 ] and mainly affects the mesentery of the small bowel [ 2 – 9 ]. Although the exact etiology of sclerosing mesenteritis has not been elucidated [ 1 – 6 , 9 – 14 ], it has been reported that the possible risk factors for the disease include malignancy, autoimmune disease, infection, ischemia, trauma, and a history of previous surgery [ 3 , 5 , 8 , 11 , 12 ]. Sclerosing mesenteritis is sometimes indistinguishable from neoplasms because its manifestations and radiographic findings may be identical to those of malignancies [ 3 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Sclerosing mesenteritis mimicking metachronous peritoneal metastases from descending colon adenocarcinoma

et al. 2017

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BackgroundSclerosing mesenteritis is a non-neoplastic inflammatory disease that occurs in the bowel mesentery. Distinguishing sclerosing mesenteritis from neoplasms may be difficult because of the clinical and radiographic similarities between the two disease entities.Case presentationWe report a case of sclerosing mesenteritis mimicking peritoneal metastases of colorectal carcinoma. A 73-year-old man with stage II descending colon adenocarcinoma with poor prognostic features was found to have developed left lower abdominal quadrant masses on computed tomography (CT) 9 months after undergoing radical surgery. These masses were diagnosed as peritoneal metastases because they grew in size and displayed fluorodeoxyglucose (FDG) uptake 3 months later; thus, a laparotomy was performed. The masses, which were localized in the jejunal mesentery, were excised completely via segmental jejunal resection. Histopathological analysis confirmed that the masses were sclerosing mesenteritis. The patient showed no signs of sclerosing mesenteritis or colorectal carcinoma recurrence during follow-up.ConclusionsIn patients suspected of having localized peritoneal metastasis from malignancies, any masses must be sampled by surgical excisional biopsy and subsequently examined to rule out alternative diagnoses, such as sclerosing mesenteritis.

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“…Some presented with features of acute abdomen and required surgery (Cakmak et al 1986; Duman et al; Hakguder et al 2000). …”

Section: Discussionmentioning

confidence: 99%

“…The mass was increasing in size which was worrisome and hastened our decision for resection. Several other cases in the literature were only diagnosed after surgical resection (Duman et al). …”

Section: Discussionmentioning

confidence: 99%