[Mesenteric panniculitis in a man with abdominal pain, fever and diarrhea].
In a 64-year-old white male with abdominal pain, fever, diarrhoea and weight loss there were radiological signs of mesenteric panniculitis: thickening of the small bowel loops, an infiltrate above the bladder and in the lower right abdomen an ileum loop with a spiculated border, and streaky strands emanating from the mesenteric fat in the lower abdomen. The clinical signs resolved spontaneously with conservative treatment in 3 weeks and after 3 months the radiological abnormalities had disappeared completely. The pathogenesis of mesenteric panniculitis is unknown. The prognosis is favourable. In advanced cases of the disease, anti-inflammatory or immunosuppressive medication may be beneficial.
Bloemen
J A M
JA
Afd. Inwendige Geneeskunde, Diaconessenhuis, Ds. Th. Fliednerstraat 1, 5631 BM Eindhoven.
Ooms
H A A
HA
Vlasveld
L Th
LT
D015746:Abdominal Pain / Q000209:etiology; D003967:Diarrhea / Q000209:etiology; D005334:Fever / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015436:Panniculitis, Peritoneal / Q000000981:diagnostic imaging* / Q000628:therapy; D011379:Prognosis; D014057:Tomography, X-Ray Computed