title: Refractory sclerosing mesenteritis involving the small intestinal mesentery: a case report and literature review.
abstract: A 28-year-old Japanese man presented with upper abdominal pain. Computed tomography (CT) revealed a soft tissue mass in the small bowel mesentery. We diagnosed the patient with sclerosing mesenteritis according to the histological findings of small bowel mesentery. Although he was treated with prednisolone, colchicine and azathioprine, neither his symptoms nor CT findings improved. This case is rare in that the disease was refractory. The characteristics of Japanese patients with sclerosing mesenteritis involving small bowel mesentery are not well understood. We herein describe the details of such patients based on a literature review including 32 recently reported Japanese cases.
authors.affiliation: Division of Gastroenterology, Tohoku University Graduate School of Medicine, Japan.
authors.forename: Katsuya
authors.initials: K
authors.lastname: Endo
authors.forename: Rintaro
authors.initials: R
authors.lastname: Moroi
authors.forename: Mikako
authors.initials: M
authors.lastname: Sugimura
authors.forename: Fumiyoshi
authors.initials: F
authors.lastname: Fujishima
authors.forename: Takeshi
authors.initials: T
authors.lastname: Naitoh
authors.forename: Naoki
authors.initials: N
authors.lastname: Tanaka
authors.forename: Hisashi
authors.initials: H
authors.lastname: Shiga
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Kakuta
authors.forename: Seiichi
authors.initials: S
authors.lastname: Takahashi
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Kinouchi
authors.forename: Tooru
authors.initials: T
authors.lastname: Shimosegawa
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D001379:Azathioprine / Q000627:therapeutic use; D003078:Colchicine / Q000627:therapeutic use; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D008643:Mesentery / Q000000981:diagnostic imaging / Q000473:pathology*; D015436:Panniculitis, Peritoneal / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D011239:Prednisolone / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
chemical_list: D007166:Immunosuppressive Agents; D011239:Prednisolone; D001379:Azathioprine; D003078:Colchicine