Paniculitis mesentérica: presentación de 10 casos

Ruíz-Tóvar, Jaime; Hernández, Natalia Alonso; Dehesa, A. Sanjuanbenito; Molina, E. Martínez

doi:10.4321/s1130-01082007000400012

Cited by 7 publications

(4 citation statements)

References 1 publication

(3 reference statements)

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“…However, no malignant cells are identified[1,4,10]. The symptoms of sclerosing mesenteritis are nonspecific and may include fever, vomiting, abdominal pain with distension, abdominal tenderness as well as intestinal obstruction[3,11,12]. Because of its nonspecific presentation, it is crucial to rule out other pathologies, such as lymphoma, sarcoma, peritoneal mesothelioma, infectious diseases (tuberculosis or histoplasmosis) or amyloidosis and post-interventional abscesses and other complications[3].…”

Section: Discussionmentioning

confidence: 99%

Treatment options for spontaneous and postoperative sclerosing mesenteritis

Klasen¹,

Güller²,

Muff³

et al. 2016

WJGS

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Sclerosing mesenteritis is a rare pathology with only a few described cases in the literature. The etiology is unclear; however, several potential triggers, including abdominal surgery and abdominal trauma, have been discussed. The pathology includes a benign acute or chronic inflammatory process affecting the adipose tissue of the mesenterium. Despite it being a rare disease, sclerosing mesenteritis is an important differential diagnosis in patients after abdominal surgery or patients presenting spontaneously with signs of acute inflammation and abdominal pain. We present here three cases with sclerosing mesenteritis. In two cases, sclerosing mesenteritis occurred postoperatively after abdominal surgery. One patient was treated because of abdominal pain and specific radiological signs revealing spontaneous manifestation of sclerosing mesenteritis. So far there are no distinct treatment algorithms, so the patients were treated differently, including steroids, antibiotics and watchful waiting. In addition, we reviewed the current literature on treatment options for this rare disease.

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Section: Discussionmentioning

confidence: 99%

Treatment options for spontaneous and postoperative sclerosing mesenteritis

Klasen¹,

Güller²,

Muff³

et al. 2016

WJGS

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“…La paniculitis mesentérica consiste en la inflamación crónica inespecífica del tejido adiposo del mesenterio intestinal de etiología aún no aclarada [1][2][3] . En la literatura hay en torno a 200 casos descritos 4 .…”

Section: Discussionunclassified

“…vos, con una duración variable entre días y años de evolución. En la exploración física puede detectarse la presencia de una masa abdominal, distensión abdominal o ascitis 1,4 . Sin embargo, hay estudios que estiman que hasta el 90% de casos diagnosticados de paniculitis mesentérica, son un hallazgo casual durante una exploración con TC realizada por una causa no relacionada y un número no despreciable de casos han sido diagnosticados durante una laparoscopia o laparotomía 4 .…”

Section: Discussionunclassified

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Paniculitis mesentérica: ¿Predictor de una neoplasia?

et al. 2009

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Mesenteric panniculitis: Predictor of a neoplasm Introduction: Mesenteric panniculitis is a rare disorder characterized by chronic, non-specific inflammation involving the adipose tissue of the bowel mesentery of unknown aetiology. It has been associated with different processes, including digestive and urothelial malignancies. Case report: A 44years-old man came to the Emergency Department complaining of mesogastric pain for the last 24 hours. CT scan showed an increased density of the mesenteric adipoid tissue. Mesenteric paniculitis was diagnosed and antibiotic treatment was instaured. The patient recovered uneventfully. Two months later the patient was diagnosed of an infiltrating urothelial carcinoma. Conclusions: Mesenteric panniculitis may be associated with malignancies and other pathologies. It is advisable to perform tests to dismiss the coexistence of these disorders. In those cases, in which associated diseases could not be demonstrated, a frequent follow-up would be advisable to achieve an early diagnosis if these appear.

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