2021, Number 4
Mesenteric panniculitis
Language: Spanish
References: 12
Page: 1-9
PDF size: 328.71 Kb.
ABSTRACT
Introduction: Mesenteric panniculitis is a rare condition. It appears in late adulthood, with nonspecific clinical manifestations, it can be asymptomatic or characterized by pain, swelling and abdominal distension, a palpable mass in the abdomen. This can be a chance finding when performing radiological examinations.Objective: To describe the clinical-imaging characteristics, as well as the therapy used in the treatment of a patient with mesenteric panniculitis.
Case report: We report the case of a 59-year-old white male patient, with history of hyperlipidemia, nonspecific abdominal pain and 6 months of evolution. A simple abdominal computed tomography and E / V were performed, showing thickening of the mesenteric fat and multiple nodular images at the level of the mesentery compatible with mesenteric panniculitis.
Findings: Mesenteric panniculitis is a low prevalence disease, with greater prevalence in the sixth decade of life, which is usually found incidentally in exploratory laparotomy or abdominal computed tomography.
Conclusions: The clinical manifestations and imaging findings of mesenteric panniculitis must be known, as well as the therapeutic variants in its treatment to avoid unnecessary surgical interventions.
REFERENCES
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Daskalogiannaki M, Voloudaki A, Prassopoulos P, Magkanas E, Stefanaki K,Apostolaki E, et al. CT evaluation of mesenteric panniculitis: prevalenceevaluation of mesenteric panniculitis: prevalence and associated diseases. AJR. 2000[acceso: 20/02/2020];174(2):427-31. Disponible en:https://www.ajronline.org/doi/full/10.2214/ajr.174.2.1740427
Martín Mateos RM, Moreira Vicente VF, Burdaspal Moratilla A, Gallego RiveraJI. Paniculitis mesentérica como causa de dolor abdominal crónico.Gastroenterología y Hepatología. 2014[acceso: 20/02/2020];37(5):297-99.Disponible en: https://www.elsevier.es/es-revista-gastroenterologia-hepatologia-14-articulo-paniculitis-mesenterica-como-causa-dolor-S0210570513002550