Approach to cases diagnosed with mesenteric panniculitis

Year 2024, Volume: 15 Issue: 52, 37 - 40, 02.09.2024

Güven Erdoğrul , Güvenç Diner , Samed Sayar , Sinan Aslan , Mustafa Uğur

https://doi.org/10.17944/interdiscip.1384774

Abstract

Objective: In this study, it was aimed to report the diagnosis, treatment and follow-up results of patients who came to the hospital with complaints of abdominal pain and were diagnosed with Mesenteric Panniculitis (MP) by Abdominal Computed Tomography (ACT).
Method: 32 patients diagnosed with MP by ACT were examined retrospectively. The patients' age, gender, admission leukocyte count, CRP values, comorbidities, medications prescribed at discharge, and relapse status were evaluated.
Results: Of the 32 patients included in the study, 11 were male (34.4%), 21 were female (65.6%), and they had a mean age of 58.75±12.31 years. The average leukocyte value at first admission was 8240±2530 /mm³, CRP average 24.93±47.39 mg/L, neutrophil percentage was not above 80% in any patient. No patients were hospitalized. Recurrence was occurred in 2 (6.25%) patients (after 6 months and 28 months). No malignancy were during follow-up.
Conclusion: MP was diagnosed with ACT. No biopsy was required for diagnosis. Medical treatment was sufficient, no surgical procedure was performed on the patients.

Keywords

Abdominal Pain, Computed Tomography, Mesenteric Panniculitis

Ethical Statement

Kahramanmaraş Sütcü İmam Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulundan onay alınmıştır.

Project Number

1384774

References

• Bush RW, Hammar SP Jr, Rudolph RH. Sclerosing mesenteritis. Response to cyclophosphamide. Arch Intern Med. 1986;146(3):503-5. https://doi.org/10.1001/archinte.146.3.503
• Nicholson JA, Smith D, Diab M, Scott MH. Mesenteric panniculitis in Merseyside: a case series and a review of the literature. Ann R Coll Surg Engl. 2010;92(6):W31-4. https://doi.org/10.1308/147870810X12699662981393
• Daskalogiannaki M, Voloudaki A, Prassopoulos P, Magkanas E, Stefanaki K, Apostolaki E, Gourtsoyiannis N. CT evaluation of mesenteric panniculitis: prevalence and associated diseases. AJR Am J Roentgenol. 2000;174(2):427-31. https://doi.org/10.2214/ajr.174.2.1740427
• Rosón N, Garriga V, Cuadrado M, Pruna X, Carbó S, Vizcaya S, Peralta A, Martinez M, Zarcero M, Medrano S. Sonographic findings of mesenteric panniculitis: correlation with CT and literature review. J Clin Ultrasound. 2006;34(4):169-76. https://doi.org/10.1002/jcu.20214
• Başol, N. Mezenterik Pannikülit. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi 2012;4(4), 1-7.
• Amor F, Farsad M, Polato R, Pernter P, Widmann J, Mazzoleni G, Osele L, Wiedermann CJ. Mesenteric panniculitis presenting with acute non-occlusive colonic ischemia. Int Arch Med. 2011;22;4:22. https://doi.org/10.1186/1755-7682-4-22
• Canyigit M, Koksal A, Akgoz A, Kara T, Sarisahin M, Akhan O. Multidetector-row computed tomography findings of sclerosing mesenteritis with associated diseases and its prevalence. Jpn J Radiol. 2011;29(7):495-502. https://doi.org/10.1007/s11604-011-0587-5
• Hussein MR, Abdelwahed SR. Mesenteric panniculitis: an update. Expert Rev Gastroenterol Hepatol. 2015;9(1):67-78. ttps://doi.org/10.1586/17474124.2014.939632
• Buragina, G., Magenta Biasina, A., & Carrafiello, G. Clinical and radiological features of mesenteric panniculitis: a critical overview. Acta bio-medica : Atenei Parmensis, 2019;90(4), 411–422. https://doi.org/10.23750/abm.v90i4.7696
• Rees JR, Burgess P. Benign mesenteric lipodystrophy presenting as low abdominal pain: a case report. J Med Case Rep. 2010;27(4):119. https://doi.org/10.1186/1752-1947-4-119
• Shah, D. M., Patel, S. B., Shah, S. R., & Goswami, K. G. Mesenteric panniculitis a case report and review of literature. Indian Journal of Radiology and Imaging, 2005:15(02), 191-192. https://doi.org/10.4103/0971-3026.28798
• Azzam I, Croitoru S, Naschitz JE. Sclerosing mesenteritis: a diagnostic challenge. Isr Med Assoc J. 2004;6(9):567-8.
• Alsuhaimi MA, Alshowaiey RA, Alsumaihi AS, Aldhaeeri SM. Mesenteric panniculitis various presentations and management: A single institute ten years, experience. Ann Med Surg (Lond). 2022;16;80:104203. https://doi.org/10.1016/j.amsu.2022.104203
• Durst AL, Freund H, Rosenmann E, Birnbaum D. Mesenteric panniculitis: review of the leterature and presentation of cases. Surgery. 1977;81(2):203-11.
• Hobson ML, Johari AS, Woon W, Haghighi KS. Mesenteric panniculitis causing ischemic bowel: a case report. Int Surg. 2008;93(4):238-40.
• Koornstra JJ, van Olffen GH, van Noort G. Retractile mesenteritis: to treat or not to treat. Hepatogastroenterology. 1997;44(14):408-10.
• Gögebakan Ö, Osterhoff MA, Albrecht T. Mesenteric Panniculitis (MP): A Frequent Coincidental CT Finding of Debatable Clinical Significance. Rofo. 2018;190(11):1044-1052. English. https://doi.org/10.1055/a-0633-3558
• Diéguez Aliaga F, Larsson JC, Ballario F, García S, Granero L. Paniculitis mesentérica: presentación de un caso y revisión de la literatura [Mesenteric panniculitis: a case report and a review of the literature]. Acta Gastroenterol Latinoam. 2013;43(4):312-5.
• Akram S, Pardi DS, Schaffner JA, Smyrk TC. Sclerosing mesenteritis: clinical features, treatment, and outcome in ninety-two patients. Clin Gastroenterol Hepatol. 2007;5(5):589-96; quiz 523-4. https://doi.org/10.1016/j.cgh.2007.02.032
• Ferrari TC, Couto CM, Vilaça TS, Xavier MA, Faria LC. An unusual presentation of mesenteric panniculitis. Clinics (Sao Paulo). 2008;63(6):843-4. https://doi.org/10.1590/S1807-59322008000600023