Mesenteric panniculitis associated with abdominal tuberculous lymphadenitis: a case report and review of the literature

Ege, Güneş N.; Akman, Haluk; Cakiroglu, Gokhan

doi:10.1259/bjr.75.892.750378

Cited by 44 publications

(43 citation statements)

References 10 publications

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“…Several atypical microorganisms such as Cryptococcus neoformans and Mycobacterium genavense have been reported in HIV patients in relation to MP [14,15]. On the other hand, M. tuberculosis and Vibrio cholera are suspected to be the infectious agents that cause MP in immunocompetent patients [16,17]. In addition, various acute abdominal inflammatory disorders in which enteric bacteria was involved in the etiopathogenesis, such as diverticulitis and acute appendicitis, have been reported in relation to MP [18].…”

Section: Discussionmentioning

confidence: 99%

An Overlooked Potentially Treatable Disorder: Idiopathic Mesenteric Panniculitis

Şahin¹,

Artaş

Eroğlu

et al. 2017

Med Princ Pract

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Objective: The aim of this study was to determine the prevalence of mesenteric panniculitis (MP) and to describe its clinical characteristics, therapy, and outcome. Subjects and Methods: This retrospective study was carried out among patients with MP based on computed tomography (CT) scans from January 2012 to December 2015. The CT images were reanalyzed by study radiologists to confirm the previous MP diagnosis. Patients were divided into 2 groups, i.e., idiopathicandsecondary, based on the presence or absence of associated predisposing factors such as trauma, malignancy, autoimmune disorders, ischemia, or previous abdominal surgery. The clinical characteristics of the 2 groups, as well as treatments, were assessed. Results: Among the 19,869 CT scans, 36 patients (0.18%) with MP were identified (i.e., 19 [53%] females and 17 [47%] males). The median age was 54 years (range 26 - 76). Twenty-four patients (67%) were categorized into the idiopathic group. Malignancy was the predisposing factor in 8 (22%) of those patients. Furthermore, abdominal pain was the cardinal symptom observed in 22 patients (92%) in the idiopathic group. In the idiopathic group, 15 patients (63%) were treated with antibiotics and 16 (67%) were treated with nonsteroidal anti-inflammatory drugs (NSAID). One unresponsive patient was treated with colchicine. Symptomatic relief was achieved in all of the treated patients. Conclusion: In thisstudy, a symptomatic idiopathic subgroup of patients with MP did not have any associated disorder. The response to treatment with antibiotics and NSAID was effective in most of the patients. Based on these findings, anti-inflammatory treatments beyond NSAID and surgery should be reserved for patients who are unresponsive to antibiotics and NSAID.

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Section: Discussionmentioning

confidence: 99%

An Overlooked Potentially Treatable Disorder: Idiopathic Mesenteric Panniculitis

Şahin¹,

Artaş

Eroğlu

et al. 2017

Med Princ Pract

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“…Neutrophilia, increased erythrocyte sedimentation rate or anemia have been reported occasionally in the retractile mesenteritis stage [6] . Some reports even go as far as stating that few or none of the patients with mesenteric panniculitis can be diagnosed correctly before operation [4,14] . However, with the advent of imaging technology like high-resolution CT or magnetic resonance imaging, distinguishing mesenteric panniculitis from other mesenteric diseases with similar imaging features such as carcinomatosis, carcinoid tumor, lymphoma, desmoid tumor, and mesenteric edema seems possible and feasible [15,16] .…”

Section: Discussionmentioning

confidence: 99%

Mesenteric panniculitis: Various presentations and treatment regimens

Issa¹,

Baydoun²

2009

WJG

114

187

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Mesenteric panniculitis is a rare, benign and chronic fibrosing inflammatory disease that affects the adipose tissue of the mesentery of the small intestine and colon. The specific etiology of the disease is unknown. The diagnosis is suggested by computed tomography and is usually confirmed by surgical biopsies. Treatment is empirical and based on a few selected drugs. Surgical resection is sometimes attempted for definitive therapy, although the surgical approach is often limited. We report two cases of mesenteric panniculitis with two different presentations and subsequently varying treatment regimens. Adequate response was obtained in both patients. We present details of these cases as well as a literature review to compare various presentations, etiologies and potential treatment modalities.

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“…Although the aetiology remains obscure, association with other diseases has been described. AIDS [14] , non-Hodgkin lymphoma [15] , tuberculitis [1] , cholesterol ester storage disease [16] have been found together with sclerosing mesenteritis. Drug therapy is not standardized, and should be based on the stage of the disease.…”

Section: Discussionmentioning

confidence: 99%

“…Only 200 cases have been reported in the world literature [1] . These cases mirror the presentation and symptoms of this case.…”

Section: Introductionmentioning

confidence: 99%

Occasional finding of mesenteric lipodystrophy during laparoscopy: A difficult diagnosis

Vettoretto¹

2007

WJG

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Mesenteric lipodystrophy is a rare pathological condition affecting the mesentery. Its initial presentation is typically asymptomatic. Pathological characteristics are unspecific, and generally attributed to inflammation, unless the diagnosis is suspected. Laparoscopy done for other reasons has been, as in this case, unsuccessful in providing evidence for the correct diagnosis, thus requiring laparotomy due to lack of diagnostic tissue. After 6 mo no further medical therapy is required, as the patient remains asymptomatic. Discussion of this case and a brief review of the literature are presented in the following paragraphs.

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Mesenteric panniculitis associated with abdominal tuberculous lymphadenitis: a case report and review of the literature

Cited by 44 publications

References 10 publications

An Overlooked Potentially Treatable Disorder: Idiopathic Mesenteric Panniculitis

An Overlooked Potentially Treatable Disorder: Idiopathic Mesenteric Panniculitis

Mesenteric panniculitis: Various presentations and treatment regimens

Occasional finding of mesenteric lipodystrophy during laparoscopy: A difficult diagnosis

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