Mesenteric panniculitis

Authors

Keywords:

Paniculitis mesentérica, mesenteritis, lipodistrofia

Abstract

Introduction: Mesenteric panniculitis is a rare condition. It appears in late adulthood, with nonspecific clinical manifestations, it can be asymptomatic or characterized by pain, swelling and abdominal distension, a palpable mass in the abdomen. This can be a chance finding when performing radiological examinations.

Objective: To describe the clinical-imaging characteristics, as well as the therapy used in the treatment of a patient with mesenteric panniculitis.

Case report: We report the case of a 59-year-old white male patient, with history of hyperlipidemia, nonspecific abdominal pain and 6 months of evolution. A simple abdominal computed tomography and E / V were performed, showing thickening of the mesenteric fat and multiple nodular images at the level of the mesentery compatible with mesenteric panniculitis.

Findings: Mesenteric panniculitis is a low prevalence disease, with greater prevalence in the sixth decade of life, which is usually found incidentally in exploratory laparotomy or abdominal computed tomography.

Conclusions: The clinical manifestations and imaging findings of mesenteric panniculitis must be known, as well as the therapeutic variants in its treatment to avoid unnecessary surgical interventions.

Keywords: mesenteric panniculitis; mesenteritis; lipodystrophy.

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Author Biographies

Yunelkys Martínez Castro, Policlínico Rural Pedro Ballester, Ciego de Ávila, Cuba

Residente de primer año en Medicina General Integral. Doctora en Medicina.

Rolando Dornes Ramón, Hospital Provincial genaral Docente Dr. Antonio Luaces Iraola. Ciego de Avila.,

Especialista de Segundo Grado en Imagenología

Profesor Auxiliar

Investigador Agregado

Damavys López Baró, Hospital Provincial genaral Docente Dr. Antonio Luaces Iraola. Ciego de Avila.,

Especialista de Primer Grado en Microbiología y Medicina General Integral. Profesor Asistente

Published

2021-12-14

How to Cite

1.
Martínez Castro Y, Dornes Ramón R, López Baró D. Mesenteric panniculitis. Rev Cubana Med [Internet]. 2021 Dec. 14 [cited 2025 Mar. 13];60(4). Available from: https://revmedicina.sld.cu/index.php/med/article/view/2677