Mesenteric Panniculitis in a Thirteen-Year-Old Korean Boy Treated with Prednisolone: A Case Report.
10.5223/pghn.2016.19.2.143
- Author:
Sun Hwan BAE
1
;
Se Jin PARK
;
Wan Seop KIM
;
Min Woo LEE
;
Ji Soo KIM
Author Information
1. Department of Pediatrics, Konkuk University School of Medicine, Seoul, Korea. baedori@hanafos.com
- Publication Type:Case Report
- Keywords:
Mesenteric panniculitis;
Prednisolone;
Child
- MeSH:
Abdominal Pain;
Adipose Tissue;
Adolescent;
Autoimmune Diseases;
Biopsy;
Child;
Coloring Agents;
Fat Necrosis;
Fibrosis;
Follow-Up Studies;
Humans;
Inflammation;
Male*;
Mycobacterium tuberculosis;
Panniculitis, Peritoneal*;
Polymerase Chain Reaction;
Prednisolone*;
Rare Diseases;
Serologic Tests
- From:Pediatric Gastroenterology, Hepatology & Nutrition
2016;19(2):143-146
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pediatric mesenteric panniculitis is an extremely rare disease of unknown etiology characterized by chronic inflammation, fat necrosis, and fibrosis in the mesenteric adipose tissue. A previously healthy 13-year-old boy was admitted because of right upper abdominal pain. An abdominal computed tomography scan revealed increased attenuation and enhancement in the left upper abdominal omental fat and anterior peritoneal wall thickening. A laparoscopic biopsy showed mesenteric panniculitis with chronic inflammation, adiponecrosis, and septal fibrosis. Serological tests for autoimmune diseases, nested polymerase chain reaction for Mycobacterium tuberculosis, and special immunohistochemical stains for malignancy were all negative. Symptomatic improvement and improved abnormal findings were achieved after an 8-month treatment with prednisolone according to a follow-up abdominal computed tomography scan. Here, we report a case of pediatric mesenteric panniculitis treated with prednisolone.
