Mesenteric panniculitis: A comprehensive description of a rare disease.

Med Clin (Barc)

Department of Gastroenterology, the First Affiliated Hospital of Ningbo University, Zhejiang Province, China. Electronic address:

Published: October 2024

AI Article Synopsis

  • Mesenteric panniculitis (MP) is a rare condition marked by chronic inflammation and fibrosis in the fat tissue of the mesentery, often following abdominal trauma or surgery.
  • Many patients are asymptomatic, but some may experience gastrointestinal issues like abdominal pain; diagnosis typically relies on imaging techniques like CT scans.
  • Treatment varies: asymptomatic patients don't require medication, but those with symptoms may benefit from glucocorticoids; surgery is not usually recommended unless there's severe intestinal obstruction.

Article Abstract

Mesenteric panniculitis (MP) is a rare disease characterized by chronic inflammation and fibrosis of the mesenteric adipose tissue. It is a benign disease that is influenced by many factors, mainly abdominal trauma and surgery. At present, the pathogenesis and clinical characteristics of MP are still not clear. Most patients with MP are asymptomatic, few will present gastrointestinal symptoms, especially abdominal pain. The diagnosis of MP mainly relies on imaging, such as CT. Medicine treatment is unnecessary for asymptomatic patients, and the curative effect of glucocorticoids is effective in patients with symptom. In the absence of severe intestinal obstruction, surgical treatment should not be considered. The purpose of this paper is to systematically introduce and summarize the epidemiology, etiology, histopathology, clinical manifestations, diagnosis, treatment and prognosis of MP, so as to improve the understanding of this disease.

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Source
http://dx.doi.org/10.1016/j.medcli.2024.08.001DOI Listing

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