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An unusual presentation of sclerosing mesenteritis as pneumoperitoneum: Case report with a review of the literature

World Journal of Gastroenterology 2009年第1期15卷 117-120页

作者： Sumita Chawla Satheesh Yalamarthi Irshad A Shaikh Veena Tagore Paul Skaife Department of Colorectal Surgery University Hospital AintreeLiverpool L9 7AL United Kingdom Department of Colorectal Surgery Queen Margaret HospitalDunfermline KY12 0SU United Kingdom Department of Pathology University Hospital AintreeLiverpool L9 7AL United Kingdom

Sclerosing mesenteritis is a rare condition that involves the small or large bowel mesentery. An unusual presentation of this condition, which led to difficult preoperative assessment and diagnosis, is described. This... 详细信息

关键词： mesenteritis Panniculitis Small bowelobstruction Mesentery

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Treatment options for spontaneous and postoperative sclerosing mesenteritis

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World Journal of Gastrointestinal Surgery 2016年第11期8卷 761-765页

作者： Jennifer Klasen Ulrich Güller Brigitte Muff Daniel Candinas Christian A Seiler René Fahrner Department of Surgery Kantonsspital Frauenfeld Spital Thurgau AG CH-8500 Frauenfeld Switzerland Division of Medical Oncology and Hematology Kantonsspital St. Gallen CH-9007 St. Gallen Switzerland Division of General Surgery Spital BülachCH-8180 Bülach Switzerland Division of Visceral Surgery and Medicine University Hospital Bern CH-3010 BernSwitzerland Division of General Visceral and Vascular Surgery University Hospital Jena D-07740 Jena Germany

Sclerosing mesenteritis is a rare pathology with only a few described cases in the literature. The etiology is unclear; however, several potential triggers, including abdominal surgery and abdominal trauma, have been discussed. The pathology includes a benign acute or chronic inflammatory process affecting the adipose tissue of the mesenterium. Despite it being a rare disease, sclerosing mesenteritis is an important differential diagnosis in patients after abdominal surgery or patients presenting spontaneously with signs of acute inflammation and abdominal pain. We present here three cases with sclerosing mesenteritis. In two cases, sclerosing mesenteritis occurred postoperatively after abdominal surgery. One patient was treated because of abdominal pain and specific radiological signs revealing spontaneous manifestation of sclerosing mesenteritis. So far there are no distinct treatment algorithms, so the patients were treated differently, including steroids, antibiotics and watchful waiting. In addition, we reviewed the current literature on treatment options for this rare disease.

关键词： Sclerosing mesenteritis Abdominal pain Inflammation Surgery Immunosuppression

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Rare case of sclerosing mesenteritis and low grade follicular lymphoma

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World Journal of Clinical Cases 2016年第4期4卷 108-111页

作者： Seema Shah Gillian Mahy Enrico Roche the Townsville Hospital

An unusual case of long standing sclerosing mesenteritis;initially presented with recurrent abdominal pain and a mesenteric mass with surrounding fat oedema and stranding with a pseudocapsule and fat ring sign were clearly visualised on the initial computed tomography *** showed diffuse thickening at the root of the mesentery and histology from this specimen revealed fat necrosis and reactive lymphoid tissue consistent with sclerosing *** treatment with steroids and tamoxifen relieved the symptoms and the *** was maintained on *** years later he developed a recurrence of his symptoms and abdominal mass that responded to a course of *** years following this,he developed a follicular Hodgkin’s lymphoma.

关键词： Sclerosing mesenteritis Computerised tomography scan Magnetic resonance imaging scans Tamoxifen Steroids Hodgkin’s lymphoma

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Occasional finding of mesenteric lipodystrophy during laparoscopy:A difficult diagnosis

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World Journal of Gastroenterology 2007年第40期13卷 5394-5396页

作者： Nereo Vettoretto Domenico Roberto Diana Roberto Poiatti Armando Matteucci Caterina Chioda Maurizio Giovanetti Department of General Vascular Surgery M Mellini HospitalChiari(BS)25032Italy Surgical Clinic University of BresciaBresciaItaly Department of Pathology M Mellini HospitalChiari(BS)25032.Italy Department of General and Vascular Surgery M Mellini HospitalChiari(BS)25032Italy

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.

关键词： mesenteritis Lypodystrophy Laparoscopy Panniculitis Sclerosing mesenteritis

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