Mesenteric panniculitis simulating malignancy

##plugins.themes.academic_pro.article.sidebar##

Published Dec 2, 2010
Download
pdf
Vol. 88 No. 12 (2010): Issue Dec 2010

##plugins.themes.academic_pro.article.main##

Amine Daghfous
Haykel Bedioui
Oussama Baraket
Lamia Kallel
S Ayadi
Mohamed Jouini
Montasser Kacem
Zoubeir Ben Safta

Abstract

Background : Panniculitis mesenteritis is a rare, benign, and chronic fibrosing inflammation disease with unknown aetiology that affects the mesentery of small bowel and colon.
Aim: To report a new case of this entity and to highlight its diagnostic difficulties especially when it affects the mesocolon.
Case report:A37 years-old women presented with chronic abdominal pain; physical examination found mass of left ilaca fossa. Closcopy and abdominal CT scan showed a thickness of bowel wall with negative biopsies. The patient underwent a colectomy. Histologic examination concluded to the diagnosis of Mesenteric panniculitis without malignant lesion.
Conclusion: Mesenteric panniculitis is a rare pathology which diagnosis is difficult to establish. It can simulate malignancy. A better knowledge of its clinical and radiological features could ovoid unecessary digestive resection.

Keywords:

Panniculitis, diagnosis, CT scan, Treatment

##plugins.themes.academic_pro.article.details##

References

  1. Ogden WW, Bradburn DM. Rives. Pannicultis of the mesentery. Ann Surg 1960; 151:659-68.
  2. G. Guettrot-Imberta, I. Delèvauxa, M. Andréa, et al. Panniculites mésentériques idiopathiques : à propos de sept observations. Rev Med Int 2007 ; 28 : S36-S82
  3. G. Piessen, C. Mariette, J.-P. Triboulet .Panniculite mésentérique. Mise au point. Ann Chir 2006;131 :85-90
  4. Wexner SD, Attiyeh FF. Mesenteric panniculitis of the sigmoid colon. Report of two cases. Dis Colon Rectum 1987; 30:812-5.
  5. Emory TS, Monihan JM, Carr NJ, Sobin LH. Sclerosing mesenteritis, mesenteric panniculitis and mesenteric lipodystrophy: a single entity? Am J Surg Pathol 1997;21:392-8.
  6. Daskalogiannaki M, Voloudaki A, Prassopoulos P, et al. CT evaluation of mesenteric panniculitis: prevalence and associated diseases. AJR Am J Roentgenol 2000;174:427-31.
  7. 7 - Saadate-Arab M, Troufleau P, Depardieu C, et al. Panniculite mésentérique. Aspects en scanographie et en IRM. J Radiol 1997; 78:305-8.
  8. Guo-Li Gu, Shi-Lin Wang1, Xue-Ming Wei1, Li Ren, De-Chang Li, Fu- Xian Zou. Sclerosing mesenteritis as a rare cause of abdominal pain and intraabdominal mass: a cases report. Cases J 2008, 1:242
  9. Durst AL, Freund H, Rosenmann E, Birnbaum D. Mesenteric panniculitis: review of the literature and presentation of cases. Surgery 1977; 81:203-11.
  10. Mathew J, McKenna F, Mason J, Haboubi NY, Borghol M. Sclerosing mesenteritis with occult ileal perforation: report of a case simulating extensive intra-abdominal malignancy. Dis Colon Rectum 2004;47: 1974-7.
  11. P Lahmek. Pathologie du mésentère. Encyclopédie médicochirurgicale 9-038-A-10
  12. Abdul M Zafar, Muhamad A Rauf, Tabish Chawla, Gule Khanda1 Mesenteric panniculitis with pedal edema in a 33-yearold Pakistani man: a case report and literature review. J Med Case Reports 2008, 2:365-6
  13. Miyake H, Sano T, Kamiya J, et al. Successful steroid therapy for postoperative mesenteric panniculitis. Surgery 2003; 133:118-9.
  14. Akram S, Pardi DS, Schaffner JA, Smyrk TC. Sclerosing mesenteritis: clinical features, treatment, and outcome in ninetytwo patients. Clin Gastroenterol Hepatol 2007, 5:589-96.
  15. Vettoretto N, Diana DR, Poiatti R, Matteucci A, Chioda C, Giovanetti M. Occasional finding of mesenteric lipodystrophy during laparoscopy: a difficult diagnosis. World J Gastroenterol 2007, 13: 5394-7.