Mesenteric Panniculitis Can Be Diagnosed by Examination and Cured by Comprehensive Therapy.

Gastroenterol Nurs

Li Zhao, MD, is Doctor-in-charge, Department of Gastroenterology, Hangzhou Red Cross Hospital/Integrated Traditional Chinese and Western Medicine Hospital of Zhejiang Province, Zhejiang Chinese Medical University, Hangzhou, China.

Published: November 2021

AI Article Synopsis

  • Mesenteric panniculitis is a rare, chronic inflammatory condition affecting the mesentery's fat tissue, often presenting with symptoms like abdominal pain and requiring imaging for diagnosis.* -
  • A case study highlighted a patient treated with oral prednisone, showing significant symptom relief and moderate weight gain within a month.* -
  • Current treatment options are mainly immunosuppressive or anti-inflammatory medications, with a generally good prognosis and rare recurrence.*

Article Abstract

Mesenteric panniculitis is a rare, slowly progressive, benign, and chronic fibrous inflammatory disease that affects the adipose tissue of the mesentery. In the present study, we aim to investigate its clinical presentations, computed tomography/sonography scan features, effectiveness of the treatment, and overall prognosis. We investigated various presentations, etiologies, diagnostic approaches, potential treatment modalities, and overall prognosis of mesenteric panniculitis. We present one case of mesenteric panniculitis with abdominal pain, which underwent steroid treatment regimens subsequently and gained weight moderately. An abdomen and pelvis cavity computed tomography scan showed misty mesentery, an ill-defined increase in the density of the peritoneal fat at the base of the mesentery with few small associated lymph nodes. The appearance is that of a panniculitis. His symptoms gradually decreased in intensity and disappeared totally within 1 month after oral prednisone 40 mg per day and moderate gain weight. Computed tomography scan features of the disease have recently been delineated clearly. Standard treatment strategy does not exist, and the current ways mainly consist of immunosuppressor or anti-inflammation agents. Overall prognosis is usually good and recurrence seems to be rare.

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Source
http://dx.doi.org/10.1097/SGA.0000000000000596DOI Listing

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