González JJL, Becerra CFM, Parrilla AF

Language: Spanish
References: 10
Page:
PDF size: 132.58 Kb.

ABSTRACT

The inflammation of the mesentery or mesenteritis is apparently of low frequency: in the world literature there are not more than 200 described cases, probably for the difficulties in their diagnosis. The mesenteric panniculitis was described by Jura in 1924 as sclerosing mesenteritis, it is a more frequent desease in males and it presents a bigger incidence above the 50 years. A 45 year-old patient is presented with antecedents of having been intervened surgically one year ago by a tumor of mesentery of the thin intestine in which the questioning referred a clinical picture characterized by abdominal pains to colics with diarrheal stools in rich undefined number, what remitted for periods of time no bigger than one month; also had loss of weight of more than 30 pounds, fever in occasions about a month ago began to notice an increase of volume around the navel very similar to which presented one year ago. It was decided to intervene surgically for mesentery tumor at level of the angle duodenum-jejunal: several tumoral formations of white-yellowish color were observed that they embraced the mesentery of the jejunum and it was proceeded to dry up the segment of thin handle with anastomosis duodenum -jejunal. The patient progressed satisfactorily and was discharged asymptomatic, the histological diagnosis of the piece corresponded with mesenteric panniculitis.

REFERENCES

1. Seo M, Okada M, Okina S, Ohdera K, Nakashima R, Sakisaka S. Mesenteric panniculitis of the colon with obstruction of the inferior mesenteric vein: report of a case. Dis Colon Rectum. 2001;44:885-9.

2. Jura V. Sulla mesenterite retrattile e sclerosante. Policlínico (Prot) 1924;31:575.

3. Duman M, Koçak O, Fazli O, Koçak C, Atici AE, Duman U. Mesenteric panniculitis patients requiring emergency surgery: report of three cases. Turk J Gastroenterol. 2012 Apr;23(2):181-4.

4. Guettrot-Imbert G, Boyer L, Piette JC, Delèvaux I, André M, Aumaître O. Mesenteric panniculitis. Rev Med Interne. 2012 Nov;33(11):621-7. doi:10.1016/j.revmed.2012.04.011. Epub 2012 May 31. Review. French.

5. Lee HJ, Kim JI, Ahn JW, Kim JH, Cheung ME, Park SH. Spontaneous regression of sclerosing mesenteritis presenting as a huge mass. Korean J Gastroenterol. 2012 Apr;59(4):317-20.

6. Ruiz-Tovar J, Gamallo C. Duodenitis associated with non-steroidal anti-inflammatory drug use causing mesenteric panniculitis. Am Surg. 2012 Mar;78(3):E137-8.

7. Avelino-Silva VI, Leal FE, Coelho-Netto C, Cotti GC, Souza RA, Azambuja RL, et al. Sclerosing mesenteritis as an unusual cause of fever of unknown origin: a case report and review. Clinics (Sao Paulo). 2012;67(3):293-5.

8. Martinez Odroizola P, Garcia Jiménez N, Cabeza Garcia S, Oceja Barrutieta E. Sclerosing mesenteritis. Report of two cases with different clinical presentation. An Med Interna (Madrid). 2003;20:254-6.

9. Bourikas LA, Despott EJ, Moorghen M, Fraser C. Endoscopic features of mesenteric panniculitis by double-balloon enteroscopy. Dig Liver Dis. 2012 Nov;44(11):961. doi: 10.1016/j.dld.2012.06.001.

10. Fasoulas K, Beltsis A, Katsinelos T, Dimou E, Arvaniti M, Charsoula A. Efficacy of colchicine in the treatment of mesenteric panniculitis in a young patient. Saudi J Gastroenterol. 2012 Mar-Apr;18(2):146-8. doi: 10.4103/1319-3767.93825.