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Zhao ME, Zhang LQ, Ren L, Li ZW, Xu XL, Wang HJ, Wang ZX, Li HL, Bao YY, Fan HN, Yangdan CR. A case report of mesenteric panniculitis. J Int Med Res 2019; 47:3354-3359. [PMID: 31122101 PMCID: PMC6683908 DOI: 10.1177/0300060519845785] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
A 65-year-old man had intermittent abdominal pain for the previous 2 years. This pain suddenly became worse with a fever and elevated inflammatory markers. We took a while to diagnose the patient with mesenteric panniculitis (MP). Although imaging findings suggested MP, we needed to rule out other diseases. Choosing a treatment for the patient also took some time and we finally used glucocorticoid to cure the patient.
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Affiliation(s)
- Ming-En Zhao
- 1 Medical College of Qinghai University, Xining, China.,2 Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, China
| | - Ling-Qiang Zhang
- 2 Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, China
| | - Li Ren
- 2 Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, China
| | - Zhen-Wei Li
- 2 Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, China
| | - Xiao-Lei Xu
- 2 Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, China
| | - Hai-Jiu Wang
- 2 Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, China
| | - Zhi-Xin Wang
- 2 Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, China
| | - Hai-Long Li
- 4 Department of Medical Central Imaging, The Affiliated Hospital of Qinghai University, Xining, China
| | - Yuan-Yuan Bao
- 2 Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, China.,4 Department of Medical Central Imaging, The Affiliated Hospital of Qinghai University, Xining, China
| | - Hai-Ning Fan
- 2 Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, China.,3 Qinghai Province Key Laboratory of Hydatid Disease Research, Xining, China
| | - Cai-Rang Yangdan
- 2 Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, China
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Sousa D, Varela AV, Coelho MV, Jorge C. Mesenteric panniculitis: diagnostic precision. BMJ Case Rep 2018; 2018:bcr-2017-223977. [PMID: 30317189 DOI: 10.1136/bcr-2017-223977] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
A previously healthy 74-year-old woman was admitted with vespertine fever, tremors, shivers and loss of appetite within the previous month. Blood tests revealed an elevated C reactive protein serum level. Serologies for infection were negative. Blood cultures grew no organisms. Colonoscopy revealed normal findings. CT showed typical findings of mesenteric panniculitis with infiltration of mesenteric fat that was circumscribed by hyperattenuating capsule and contained enlarged homogenous lymph nodes. The histopathological analysis from mesenterium revealed non-specific signs of chronic inflammation. On institution of prednisolone, the clinical symptoms subsided, and we replaced it with azathioprine after 1 month. After 12 months of therapy, the patient remained asymptomatic, normalised the serological inflammatory markers and repeat CT revealed normal mesenteric fat.
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Affiliation(s)
- Domingos Sousa
- Internal Medicine, Centro Hospitalar Universitário do Algarve, Faro, Portugal
| | - Ana Verónica Varela
- Internal Medicine, Centro Hospitalar Universitário do Algarve, Faro, Portugal
| | | | - Catarina Jorge
- Internal Medicine, Centro Hospitalar Universitário do Algarve, Faro, Portugal
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