Four Cases of Postoperative Sclerosing Mesenteritis.
10.3393/jksc.2007.23.5.374
- Author:
Eu Gene KIM
1
;
Yong Won KANG
;
Seo Gu YOON
;
Heung Dai KIM
;
Kwang Yun KIM
Author Information
1. Department of Surgery, Song Do Colorectal Hospital, Seoul, Korea. superhim93@hotmail.net
- Publication Type:Case Report
- Keywords:
Mesenteric panniculitis;
Mesenteric lipodystrophy;
Sclerosing mesenteritis;
Retractile mesenteritis
- MeSH:
Abdominal Pain;
Adipose Tissue;
Fever;
Fibrosis;
Humans;
Nausea;
Panniculitis, Peritoneal*;
Weight Loss
- From:Journal of the Korean Society of Coloproctology
2007;23(5):374-380
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Mesenteric panniculitis is an extremely rare inflammatory condition of the adipose tissue of unknown etiology. It is characterized by extensive, progressive fibrosis of the mesenteric fat tissue, leading to tumor formation. Clinical manifestations vary according to the process involving the structures. Abdominal pain accompanied by nausea, malaise, pyrexia, and weight loss and a poorly defined mass are common presentations. Major pathologic changes include (1) degeneration of mesenteric fat, (2) an inflammatory reaction, and (3) fibrosis of the adipose tissue. We present four patients with an aggressive form of mesenteric pannicultis with characteristic histopathologic features. We discuss the relationship between the histopathologic features and the surgical intervention in these cases.
