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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 18, No. 2, 2013, pp. 180-183
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Bioline Code: js13048
Full paper language: English
Document type: Case Report
Document available free of charge
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East and Central African Journal of Surgery, Vol. 18, No. 2, 2013, pp. 180-183
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Mesenteric Panniculitis Mimicking Acute Pancreatitis: A Case Report and Literature review
Jani, P. G. & Jivanjee, M.
Abstract
Mesenteric panniculitis is a rare disease characterized by an chronic non-specific inflammation of
the adipose tissue of the mesentery of the small intestine and colon. The specific etiology of the
disease is unknown. The condition is referred to as retractile mesenteritis when fibrosis
predominates but generally sclerosing mesenteritis is the common pathological terminology used
for the condition.
CT scan is highly suggestive of the diagnosis which may be confirmed by surgical biopsies.
Treatment is empiric and surgical resection is sometimes attempted for definitive therapy. We
report a case of a 77 year old man presenting with CT features of mesenteric panniculitis currently
in remission. The aim is to highlight this condition and possibly avoid the negative laparotomies
done on suspected cases of pancreatitis in our region.
Keywords
Mesenteric Panniculitis; Mimicking; Acute Pancreatitis
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© Copyright 2013 - East and Central African Journal of Surgery
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