Clinical case of mesenteric panniculitis

Kniazkova, I. I.; Korchevskaya, Anna; Bogun, Maryna

doi:10.5114/reum.2019.89524

Cited by 5 publications

(7 citation statements)

References 10 publications

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“…Mesenteric panniculitis is a rare condition with an average age of presentation in the seventh decade of life. It is twice as common in men as in women [6]. Considering the rarity of mesenteric panniculitis, its natural history is incompletely understood.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of patients with mesenteric panniculitis have no clinical symptoms and their disease is diagnosed incidentally on imaging studies performed for unrelated indications [9]. Symptomatic patients have abdominal pain that could be associated with fever, nausea, vomiting, and weight loss [6]. In the chronic fibrosis stage of the disease, patients may present with intestinal obstruction.…”

Section: Discussionmentioning

confidence: 99%

“…Other agents include cyclophosphamide, which can be attempted if no clinical improvement was noted with the corticosteroid therapy. Surgery has a limited role such as a palliative procedure to relieve bowel obstruction [6,9].…”

Section: Discussionmentioning

confidence: 99%

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Mesenteric Panniculitis and COVID-19: A Rare Association

Alyousef¹,

Alsaileek²,

Alabdulsalam³

et al. 2022

Cureus

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Coronavirus disease 2019 (COVID-19) typically involves the respiratory system, but gastrointestinal involvement is common. Further, patients with severe COVID-19 are at high risk to develop gastrointestinal complications, including bowel ischemia, ileus, and deranged liver enzymes. We present the case of a 44year-old woman with mild COVID-19 pneumonia who was in home isolation. Ten days after the isolation, the patient presented to the emergency department complaining of generalized abdominal pain that was sharp in nature and associated with nausea and recurrent episodes of vomiting. The patient did not complain of any respiratory symptoms. Physical examination showed diffuse tenderness with no clinical signs to suggest generalized peritonitis. The laboratory parameters showed normal hematological, renal, and hepatic profiles. No elevation in the inflammatory markers was observed. The amylase level was within the normal range. Abdominal computed tomography scan demonstrated the presence of misty mesentery with increased density of the mesentery with fat stranding encasing the mesenteric vessels along with mesenteric adenopathy. Such radiological features suggested the diagnosis of mesenteric panniculitis. Subsequently, intravenous corticosteroid therapy was initiated and the patient exhibited significant improvement after 24 hours. The patient was discharged after nine days of hospitalization. She was followed up after one month and she had no complaints. Mesenteric panniculitis is a rare idiopathic inflammatory condition involving the mesenteric adipose tissue. The case shed a light on the possible association of COVID-19 with mesenteric panniculitis. The clinical manifestations of mesenteric panniculitis are non-specific and imaging studies are essential to suggest the diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Mesenteric Panniculitis and COVID-19: A Rare Association

Alyousef¹,

Alsaileek²,

Alabdulsalam³

et al. 2022

Cureus

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“…The disease is frequently seen in patients at an age of about 50-60 years. The clinical picture varies widely, from incidentally caught asymptomatic ones to cases with mass(es) detected in the abdomen (3). Initially, it was defined by Jura in 1924 and is known by the names mesenteric lipodystrophy, retractile mesenteritis, liposclerotic mesenteritis, or mesenteric Weber-Christian disease (4).…”

Section: Introductionmentioning

confidence: 99%

A rare, but to be considered disease, in the differential diagnosis of abdominal pain: Mesenteric Panniculitis

Yardımcı

2020

Med Sci Discov

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Abdominal pains are one of the major topics of emergency clinics. Mesenteric panniculitis (MP) is one of the rarely encountered causes of abdominal pain and is known as an idiopathic disease with a good prognosis. MP may cause abdominal pain, abdominal mass and intestinal obstruction. Infections, autoimmune diseases and abdominal traumas may trigger MP. The disease may coexist with malignancy and has a high probability of developing malignancy in MP patients. In this case report, a 59-year-old female patient, who came to our Internal Medicine Outpatient Clinic with abdominal pain and who was diagnosed with MP, is presented.

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“…1 Other drugs in the therapeutic armamentarium include thalidomide, cyclophosphamide, progesterone, colchicine, infliximab, pentoxifylline, and low dose naltrexone. 3 Surgery should be considered only in critical conditions, not for routine treatments. Especially, surgical management should be indicated in cases of persistent, incomplete bowel obstruction causing recurrent troublesome colicky pain and should be mandatory in cases of acute complete bowel obstruction, 4 as in this reported case.…”

mentioning

confidence: 99%