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Sclerosing Mesenteritis Presenting as Intestinal Occlusion: A Case Report.
Cureus
December 2024
Esophagogastric Surgery, Unidade Local de Saúde (ULS) de Viseu Dão-Lafões, Viseu, PRT.
Article Synopsis
- Sclerosing mesenteritis is a rare chronic condition that affects the mesenteric fat, involving inflammation and fibrosis without a clear cause, leading to variable symptoms, most commonly abdominal pain.
- Its diagnosis primarily relies on histological analysis, even though incidental findings have increased due to widespread CT imaging.
- The prognosis is generally good, but misdiagnosis is common, highlighting the need to consider it in cases of vague abdominal pain to prevent unnecessary treatments, though surgery might be required for severe cases like intestinal blockage.
Gastric Outlet Obstruction as a First Symptom of a Non-Muscle Invasive Bladder Cancer (NMIBC) Progression-A Case Report.
Cancer Rep (Hoboken)
December 2024
Department of Internal Medicine, Hospital St. Josef Braunau, Braunau am Inn, Austria.
Article Synopsis
- A 78-year-old male patient presented with persistent vomiting due to a rare case of metastatic urinary bladder cancer, which led to gastric outlet obstruction.
- Despite recent follow-up showing no disease recurrence, tests revealed duodenal stenosis and abnormal mesenteric fat swelling, initially misinterpreted as inflammation.
- A laparoscopic exploration confirmed peritoneal carcinomatosis, ultimately identifying urothelial cancer cells, highlighting the need for clinicians to think about metastatic bladder cancer in similar situations.
IgG4-related disease for the hematologist.
Hematology Am Soc Hematol Educ Program
December 2024
Division of Hematology, University of British Columbia, Vancouver, British Columbia, Canada; and Division of Hematology, Dalhousie University, Halifax, Nova Scotia, Canada.
Immunoglobulin G4-related disease (IgG4-RD) is an immune-mediated disease with many important manifestations in hematopoietic and lymphoid tissue. IgG4 is the least naturally abundant IgG subclass, and the hallmark feature of IgG4-RD is markedly increased IgG4-positive plasma cells (with an IgG4 to IgG ratio >40%) in affected tissue, along with elevated polyclonal serum IgG and IgG4 in most patients. Histological diagnosis is essential, and other key features include storiform fibrosis, lymphoplasmacytic infiltrate, tissue eosinophilia, and obliterative phlebitis.
View Article and Find Full Text PDFThe Long-Term (3.5-Year) Observation of Asymptomatic Sclerosing Mesenteritis: A Case Report.
Cureus
September 2024
Department of Gastroenterology, Toyonaka Municipal Hospital, Toyonaka, JPN.
A 57-year-old male with a history of hypertension, diabetes mellitus, and dyslipidemia was found to have elevated carcinoembryonic antigen (CEA) levels during a routine health checkup, leading to an abdominal computed tomography (CT) scan. The scan identified a mesenteric mass with an irregular morphology. Subsequent blood tests indicated no signs of inflammation, and follow-up CEA levels normalized.
View Article and Find Full Text PDF[High Frequency of Mesenteric Panniculitis in Non-Hodgkin Lymphoma and Prostate Cancer: Study in 1,500 Oncologic Patients Undergoing Staging].
Rev Med Chil
November 2023
Departamento de Radiología, Hospital San Juan de Dios, Santiago, Chile.
Article Synopsis
- Mesenteric panniculitis (MP) is a rare and generally non-serious condition affecting the mesenteric root, potentially linked to certain cancers.
- A study analyzed PET/CT scans from January 2008 to December 2019 to find how common MP was in patients with various cancers, excluding those with previous treatments or multiple cancers.
- Results showed that 5.3% of oncologic patients had MP, with non-Hodgkin lymphoma (15.9%) and prostate cancer (11.9%) being the most associated types, while others like Hodgkin lymphoma and cervical cancer showed no cases.
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