Kitle ve Karın Ağrısı ile Kendisini Gösteren Mezenterik Pannikülit

Abstract

Mezenterik pannikülit, etyolojisi bilinmeyen, benign ve nadir bir durumdur. Kronik inflamatuar bir süreç olup mezenterik yağ dokusunu etkiler. İyi tanımlanmış 2 tipi vardır. Birincisi akut ve subakut formu mezenterik pannikülit olarak ve ikincisi ise kronik formu retraktil veya sklerozan mezenterit olarak bilinir. Mezenterik pannikülit spesifik klinik bulgu ve tipik semptomları olmadığı için, yanlış tanı konulması ve gözden kaçması çok kolaydır. Doğru tanısı eksploratif laparatomi ve patolojik incelemeyle konur. Literatürde preoperatif olarak tanı konulabilen çok az sayıda olgu bildirilmiştir. Biz preoperatif olarak bilgisayarl􀃖 tomografi (BT) tetkiki ile radyolojik tanısını koyduğumuz üç mezenterik pannikülit olgusunun radyolojik bulgularını ve klinik önemini sunuyoruz.

Keywords

• Mesenteric Panniculitis
• Computed Tomography
• Ultrasonography

Kitle ve Karın Ağrısı ile Kendisini Gösteren Mezenterik Pannikülit

Abstract

Mesenteric panniculitis; which etiology is unknown, is a rare and benign condition. Being a chronic inflammatory process, it affects the mesenteric adipose tissue. There are two well defined types of mesenteric panniculitis. First one is known as acute and subacute form of mesenteric panniculitis and second one is known as chronic retractile form or sclerosing mesenteritis. Since mesenteric panniculitis does not have specific clinical outcome or typical symptoms, it is extremely easy to fail to notice or to lead to a misdiagnosis. The true diagnosis of mesenteric panniculitis is established by explorative laparotomy and pathological examination. There are very few stated cases which can be diagnosed in literature. We; preoperatively, present the significance of three mesenteric panniculitis cases radiological symptoms and clinical importance which we have radiologically diagnosed preoperatively with the computed tomography examination.

Keywords

• Mesenteric Panniculitis
• Computed Tomography
• Ultrasonography

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