Mesenteric Panniculitis with Ischemic Intestinal Lesion, Report of a Case Kenji Kamiya 1 , Kousei Segawa 1 , Shozo Okamura 1 , Shinji Ohashi 1 1Department of Gastroenterology, Toyohashi Municipal Hospital Keyword: 大腸腸間膜脂肪織炎 , 虚血性腸病変 pp.553-559
Published Date 1996/3/25
DOI https://doi.org/10.11477/mf.1403104119
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 A case of mesenteric panniculitis seen in a 57-year-old woman is reported. The patient complained of left lower abdominal pain and diarrhea.

 Physical examination revealed a hard fist-sized mass with tenderness in her LLQ area. Laboratory findings on admission were normal except for positive CRP and increased ESR. Barium enema study demonstrated narrowing of the sigmoid and descending colon and sawtooth-like appearance on its mesenteric side. Colonoscopic examination showed narrowing and edema of the rectosigmoid and descending colon. The CT scan and EUS revealed edema of the rectosigmoid colon surrounded by fatty tissue.

 Resected specimen showed submucosal edema, focal mucosal necrosis, and a lineal ulcer suggestive of an intestinal ischemic lesion.

 Pathological examination of the resected colon yielded a diagnosis of mesenteric panniculitis with an ischemic intestinal lesion.

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