1991•The journal of the Japanese Practical Surgeon SocietyOpen access
A CASE OF MESENTERIC PANNICULITIS PRESENTED WITH AN ACUTE COURSE
Atsushi Takahashi, Takashi Bessho, Hidetane Onishi, Hisashi Shinohara, Takashi Kondo, Hiroaki Kurihara, Katsuhisa Onoguchi, Yasushi Seki, Hiroshi Iio, Toshiharu Furukawa, Kosuke Tobita, M Mukai
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Abstract
Mesenteric panniculitis is a rare nonspecific inflammatory disease of the mesentery, and most of such cases have a chronic course. We have experienced a case of acute mesenteric panniculitis. A 23-year-old female admitted to our hospital with the complaints of abdominal pain and fever. An abdominal CT scan disclosed inflammatory changes of mesentery, yet exploratory laparotomy was done because of increasing abdominal pain. At laparotomy the mesentery of the small intestine was found to present an inflammatory thickness, and macroscopically it was diagnosed as mesenteric panniculitis. Histological diagnosis of biopsy was the same. In this patient remission could be attained by only antibiotic and non-steroidal anti-inflammatory drug therapy. In this paper we also reviewed 35 cases in the Japanese literature.
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