1.Peritoneal diagnosis saves infants from intoxication
Journal of Practical Medicine 2003;442(2):46-48
Peritoneal diagnosis was performed on 3 infants of 7 months, 10 months and 30 months old age with liver and kidney failure associated with severe disorders of vital functions. These 3 subjects were related to intoxication from medicaments or to blood transfusion complications. In combining with comprehend vive treatment of internal surgical techniques A 3-10 day course of diagnosis have saved all these 3 infants, their vital functions including liver and kidney function have turned to normal standards. After 1 year follow up, the results were stable
Poisoning
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Infant
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Kidney Failure
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Panniculitis, Peritoneal
;
diagnosis
2.A Case of Mesenteric Panniculitis in Pelvic Cavity.
Seok Geun YOON ; Jeong Heon LEE ; Jong Duk KIM
Korean Journal of Obstetrics and Gynecology 2005;48(8):2016-2020
Mesenteric panniculitis is a infrequent, benign idiopathic inflammatory disease of the mesenteric fat tissues. It is characterized by infiltration of lipid-laden macrophages and associated with variable degree of inflammation and fibrosis. Common symptoms are abdominal pain and palpable mass. The diagnosis is made by ultrasound, computed tomogram (CT), magnetic resonance imaging (MRI), combined with the histologic findings. However, definitive diagnosis is difficult in many cases and it is often misdiagnosed as abdominal tumor before laparotomy is performed. Because mesenteric panniculitis can occur in pelvic cavity, it should be differentiated from tumor of pelvic organ. We report a case of mesenteric panniculitis of rectosigmoid colon mimicking pelvic tumor with a brief review of literatures.
Abdominal Pain
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Colon
;
Diagnosis
;
Fibrosis
;
Inflammation
;
Laparotomy
;
Macrophages
;
Magnetic Resonance Imaging
;
Mesentery
;
Panniculitis
;
Panniculitis, Peritoneal*
;
Ultrasonography
3.Idiopathic Isolated Perigastric Omental Panniculitis.
Jong Seol PARK ; Seo Hwa KIM ; Byung Wook YOON ; Byoung Su OH ; Dong Sik YOON ; Nurhee HONG ; In Kyeom HWANG ; Jaehoon JAHNG ; Yong Sung KIM
The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2015;15(3):178-181
Mesenteric panniculitis (MP) is non-specific inflammation of the adipose tissue that primarily involves the small bowel mesentery. Omental involvement has been rarely reported but we report a case of 25 years old woman with isolated lesser omental panniculitis. This patient was diagnosed by CT findings and recovered completely with conservative treatment. Invasive diagnostic methods or surgical exploration has been used to diagnose MP. However, all six reported cases of omental panniculitis including the current case showed a benign course; therefore, awareness of the CT findings is essential for the best diagnosis and management of omental panniculitis.
Adipose Tissue
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Anti-Inflammatory Agents, Non-Steroidal
;
Diagnosis
;
Female
;
Humans
;
Inflammation
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Mesentery
;
Omentum
;
Panniculitis
;
Panniculitis, Peritoneal*
;
Tomography, X-Ray Computed
4.Appropriate Administration Timing and Clinical Indications of Thiopurine in Crohn's Disease.
The Korean Journal of Gastroenterology 2014;63(3):194-198
No abstract available.
Crohn Disease/*diagnosis
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Female
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Humans
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Immunoglobulin G/*blood
;
Panniculitis, Peritoneal/*diagnosis
5.Sclerosing Mesenteritis.
Seok Yun LEE ; Dong Eun PARK ; Kwon Mook CHAE
Journal of the Korean Surgical Society 2006;71(3):218-221
Sclerosing mesenteritis is a rare condition; it's an idiopathic nonspecific inflammatory process in the adipose tissue of the small bowel mesentery. It often develops into huge masses that contain necrotic fat, and these masses mimick malignancy. It has two pathologically different variants: mesenteric panniculitis (acute or subacute) and retractile-mesenteritis (chronic). Although infection, trauma, local ischemia, surgery and malignancy have been implicated in the etiology of this disease, the exact causes are unknown. The disease usually has a favorable prognosis. The diagnosis is confirmed by biopsy. A 59 year-old man visited in our hospital with vague abdominal pain and diarrhea that he had suffered with during the previous three months. A computed tomography (CT) scan showed a dilated small intestine and also masses in the small bowel mesentery. On the operative findings, fibrous masses were noted in the mesentery. The pathologic report revealed sclerosing mesenteritis. We report here on a case of sclerosing mesenteritis along with a review of the literatures.
Abdominal Pain
;
Adipose Tissue
;
Biopsy
;
Diagnosis
;
Diarrhea
;
Humans
;
Intestine, Small
;
Ischemia
;
Mesentery
;
Middle Aged
;
Panniculitis, Peritoneal*
;
Prognosis
6.Sclerosing mesenteritis: report of a case.
Chinese Journal of Pathology 2007;36(7):501-502
7.Spontaneous Regression of Sclerosing Mesenteritis Presenting as a Huge Mass.
Hyun Jeong LEE ; Jin Il KIM ; Ji Won AHN ; Jeong Ho KIM ; Mo Eun CHEUNG ; Soo Heon PARK ; Jae Kwang KIM ; Soyoung IM
The Korean Journal of Gastroenterology 2012;59(4):317-320
Sclerosing mesenteritis is a rare benign disease originated from the mesenteries. It can be related to autoimmune disease, vasculitis, ischemia, infection, trauma and operation, but most of cases are idiopathic. The overall prognosis of sclerosing mesenteritis is usually good with benign, course. However, no consensus of treatment has yet been established. We report a case of spontaneous partial regression of sclerosing mesenteritis presented as a huge mass and diagnosed by finding of contrast enhanced abdominal computed tomography and percutaneous ultrasonography guided needle biopsy.
Biopsy, Fine-Needle
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Diagnosis, Differential
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Humans
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Male
;
Mesentery
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Middle Aged
;
Panniculitis, Peritoneal/*diagnosis/pathology/ultrasonography
;
Remission, Spontaneous
;
Tomography, X-Ray Computed
8.A Case of Idiopathic Sclerosing Mesenteritis with Retroperitoneal Fibrosis.
June Ho BAE ; Seong Hwan KIM ; Sang Bong AHN ; Byoung Kwan SON ; Yun Ju JO ; Young Sook PARK ; Yu Min JUNG ; Yeon Soo CHANG
The Korean Journal of Gastroenterology 2011;58(4):221-225
Sclerosing mesenteritis is a rare inflammatory disease of the bowel mesentery. It produces tumor-like masses of the mesentery composed of varying degrees of fibrosis, chronic inflammation, and fat necrosis. It has been described variously as fibrosing mesenteritis, retractile mesenteritis, mesenteric Weber Christian disease, and systemic nodular panniculitis. The etiology and pathogenesis of the disease are as yet unknown, but autoimmune disorder, previous abdominal surgery, trauma, and ischemia could play a role. The clinical features include abdominal pain, vomiting, diarrhea, and constipation. Occasionally, patients with this condition may present with bowel obstruction. Rarely, It can be associated with other idiopathic inflammatory disorders such as retroperitoneal fibrosis, sclerosing cholangitis, and orbital pseudotumors. We report a case of idiopathic sclerosing mesenteritis with retroperitoneal fibrosis in a 58-year-old man.
Anti-Inflammatory Agents/therapeutic use
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Antineoplastic Agents, Hormonal/therapeutic use
;
Diagnosis, Differential
;
Humans
;
Laparoscopy
;
Male
;
Middle Aged
;
Panniculitis, Peritoneal/complications/*diagnosis/drug therapy
;
Prednisolone/therapeutic use
;
Retroperitoneal Fibrosis/complications/*diagnosis/pathology
;
Tamoxifen/therapeutic use
;
Tomography, X-Ray Computed
9.Uncommon Causes of Small Bowel Obstruction.
Byungseok CHOI ; Shin SON ; Jaechul BYUN ; Heeyoung YANG ; Kyunghwan PARK
Journal of the Korean Surgical Society 1999;56(5):701-707
BACKGROUND: The major causes of small bowel obstruction (SBO) are postoperative adhesion, hernia, intussusception and malignancies. However, in cases of uncommon causes of SBO, surgeons are be in a dilemma because the preoperative diagnosis and the decision to operate are frequently difficult and delayed. METHODS: We reviewed retrospectively the cases of 29 patients with SBO who were operated on for unknown etiology at Daedong Hospital between Jan. 1, 1991, and Dec. 31, 1997. The common causes of SBO, such as postoperative adhesion, external hernia, congenital anomaly of the gastrointestinal tract in neonate, intussusception in children, and known intraabdominal malignancy, were all excluded. RESULTS: 1) The incidence of uncommon causes of SBO included in this study was 8.7% of all cases of SBO operated on during the same period. 2) Among the 29 cases, 12 cases were caused by tumors (41.4%), of which the number of malignant tumors was double that of benign ones. 3) Besides tumors, there were 3 cases of bezoar, two cases of congenital bands, mesenteric cysts, internal hernias, Meckel's diverticula, and intussusception, one case each of mesenteric panniculitis and Crohn's disease, and two cases with an unknown etiology of inflammation. 4) Five cases were due to adult intussusception, 3 cases of which were due to benign tumors of the small bowel. All of the SBOs by intussusception were located at the terminal ileum. 5) The most common site of obstruction was the ileum (20 cases), followed by the jejunum (7 cases), and the duodenum (2 cases). 6) Males were dominant (1.6:1) especially in cases of tumor-origin SBOs (2:1). 7) In viewing the age distribution, the incidence was relatively high in the 5th and the 8th decades. Especially, tumor-origin SBOs had their peak in the 5th decade, and all cases of bezoar were found in 8th decade. 8) Operations were performed within 72 hours in 19 cases (65.5%) after first inspection of the patients, and intussusception, congenital band, and bezoar were the common causes of the cases involved in early surgical intervention. 9) Segmental resection of the small bowel was the most common surgical procedure (19 cases, 65.5%), followed by bypass surgery (6 cases), removal of the bezoar (2 cases), and excision of the mesenteric cyst or band (1 case, respectively). Coclusions: We think it reasonable to perform an exploratory laparotomy in cases of unknown causes of SBO as early as possible because almost all the cases require surgical intervention eventually, and studies searching for the causes of obstruction will only be time-consuming. While surgeons should keep in mind that tumors are major causes of uncommon SBOs.
Adult
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Age Distribution
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Bezoars
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Child
;
Crohn Disease
;
Diagnosis
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Diverticulum
;
Duodenum
;
Gastrointestinal Tract
;
Hernia
;
Humans
;
Ileum
;
Incidence
;
Infant, Newborn
;
Inflammation
;
Intussusception
;
Jejunum
;
Laparotomy
;
Male
;
Mesenteric Cyst
;
Panniculitis, Peritoneal
;
Retrospective Studies
10.A Case of IgG4-Related Sclerosing Mesenteritis Associated with Crohn's Disease.
Eui Jung KIM ; Eun Young KIM ; Jung Eun SONG ; Hyeon Chul LEE ; Gyu Hwan BAE ; Hoon Kyu OH ; Tae Sung LEE
The Korean Journal of Gastroenterology 2014;63(3):176-182
Sclerosing mesenteritis (SM) is a rare disease characterized by chronic nonspecific mesenteric inflammation and fibrosis of unknown etiology. Some tumefactive SM shows diffuse accumulation of IgG4-positive plasma cells and is considered as a part of the spectrum of IgG4-related disease. An association between inflammatory bowel disease and IgG4-related disease has been indicated. A 45-year-old woman visited our hospital due to weight loss with intermittent lower abdominal discomfort. Pelvic ultrasound revealed a mass-like lesion in the abdominal wall and pelvis MRI demonstrated a 5.9 cm sized wall-enhancing mass with heterogeneous signal intensity from right adnexa to the abdominal wall. Tumor resection and adhesiolysis was done because of severe adhesion with the small bowel, colon, bladder, uterus, and abdominal wall. Appendectomy was also performed due to adhesion and edematous change. Histological examination of the resected mass showed findings that were compatible with IgG4-related SM. The resected appendix showed chronic granulomatous inflammation without evidence of tuberculosis. She was diagnosed with Crohn's disease after undergoing colonoscopy and CT enterography. Herein, we report a rare case of IgG4-related SM that occurred in conjunction with Crohn's disease.
Anti-Inflammatory Agents/therapeutic use
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Appendix/pathology
;
Azathioprine/therapeutic use
;
Colonoscopy
;
Crohn Disease/complications/*diagnosis/drug therapy
;
Female
;
Humans
;
Immunoglobulin G/*blood
;
Magnetic Resonance Imaging
;
Mesalamine/therapeutic use
;
Middle Aged
;
Panniculitis, Peritoneal/*diagnosis/etiology/ultrasonography
;
Prednisolone/therapeutic use
;
Tomography, X-Ray Computed
;
Urinary Bladder/pathology