Uncommon Solitary Mesenteric Mass: Mesenteric Panniculitis

  • Abhishek Shah Department of Radiology, The First Hospital of Jilin University, Changchun, Jilin Province, 130021
  • Dianbo Cao Department of Radiology, The First Hospital of Jilin University, Changchun, Jilin Province, 130021
  • Deepa Shah Department of Internal Medicine (Rheumatology), China –Japan Union Hospital of Jilin University, Changchun, Jilin Province, 130021
  • Wenbin Sun Department of Radiology, The First Hospital of Jilin University, Changchun, Jilin Province, 130021

Abstract

Mesenteric panniculitis is a rare, benign disease characterized by a chronic non-specific inflammatory process of mesenteric fat tissue with unknown etiology. Its clinical outcome ranges from complete resolution without any treatment to rapid progression culminating in death. So far, there is no established treatment available for its management. A 53-year-old female was admitted to our hospital because of intermittent abdominal pain, abdominal distension and early satiety for three months. Her abdominal CT scan revealed a solitary, well-defined, heterogeneous mass with a diameter of approximately 3.5cm x 2.8cm in the mesentery of small bowel. Exploratory laparotomy revealed yellowish-grey mass with a gritty consistency and histopathology of the resected specimen confirmed it to be mesenteric panniculitis. An increased awareness may lead to the use of a less invasive diagnostic approach and optimal management of this rare disease entity.

Keywords: Computerized Tomography (CT); Mesenteric Panniculitis (MP); treatment.

Published
2013-03-31
How to Cite
Shah, A., Cao, D., Shah, D., & Sun, W. (2013). Uncommon Solitary Mesenteric Mass: Mesenteric Panniculitis. Journal of Nepal Medical Association, 52(189), 288-291. https://doi.org/10.31729/jnma.573
Section
Case Reports