Nadir bir akut batın nedeni: Mezenterik pannikülit

Abstract

Mezenterik pannikülit primer olarak ince barsak mezenterini, nadir olarak da mezokolonu ve omentumu tutan akut veya subakut seyreden inflamatuvar bir hastalıktır. Bu olgu sunumunda, akut karın ağrısı nedeniyle kliniğimize başvuran ve laparotomide mezenterik pannikülit tanısı konulan hastamızın tanı ve tedavi sürecinin sunulması amaçlanmıştır. Altmış iki yaşında kadın hasta iki gün önce başlayan karın ağrısı, bulantı ve kusma nedeniyle başvurdu. Muayenede akut batın hali olan fakat görüntülemelerde ince barsak tipi ileus dışında patoloji olmayan hasta medikal tedavi için yatırıldı. Medikal tedaviye rağmen batın muayenesi rahatlamayan hastaya tanısal laparotomi yapıldı. Laparotomide ince barsaklarda ödem ve ince barsak mezenterinde barsak duvarına yakın alanda multipl inflamatuvar alanlar (pannikülit ile uyumlu) mevcuttu. Ameliyat sonrası serviste takip edilen ve takiplerinde sorun olmayan hasta postoperatif 3. günde taburcu edildi.

Keywords

• ileum
• laparatomi
• pannikülit

A rare cause of acute abdomen: Mesenteric panniculitis

Abstract

Mesenteric panniculitis is an acute or subacute inflammatory disease that primarily involves the small intestine mesentery, rarely the mesocolon and omentum. In this case report, it is aimed to present the diagnosis and treatment process of our patient who applied to our clinic with acute abdominal pain and was diagnosed with mesenteric panniculitis at laparotomy. A 62-year-old female patient presented with abdominal pain, nausea and vomiting that started two days ago. The patient, who had acute abdomen on examination but had no pathology other than small bowel type ileus, was hospitalized for medical treatment. Diagnostic laparotomy was performed to the patient whose abdominal examination did not improve despite medical treatment. At laparotomy, there were edema in the small intestine and multiple inflammatory areas (consistent with panniculitis) in the small intestine mesentery close to the intestinal wall. The patient, who was followed in the service at postoperative period and had no problems in the follow-up, was discharged on the 3rd postoperative day.

Keywords

• ileum
• laparotomy
• panniculitis

References

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