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A Very Rare Case of Chronic Panniculitis Localized at the Mesentery of the Sigmoid Colon M. Yoshitsugu 1 , R. Sassa 1 , S. Hosaka 2 , T. Muto 2 , K. Yamaguchi 3 1The Institute for Adult Diseases, Asahi Life Foundation 2The First Depart. of Surgery, Univ. of Tokyo 3The Depart. of Pathology, Univ. of Tokyo pp.1401-1405
Published Date 1979/10/25
DOI https://doi.org/10.11477/mf.1403107807
  • Abstract
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 A 72 year-old man, who had neither previous abdominal surgery nor traumas, was admitted on March 4, 1977. He had had a month's history of abdominal pain and diarrhea which lasted for 2 weeks prior to his admission. Physical examination revealed a tender and firm palpable mass in the right paraumbilical region.

 The laboratory findings on admission were as follows: hemoglobin 14.6g%, RBC 419×104WBC 6500 with 75% neutrophils and 15% lymphocytes, erythrocyte sedimentation rate of 39 mm (1-hour-value), positive CRP, diabetic glucose tolerance test (100g oral).

 Barium enema study demonstrated the sigmoid lesion with shortening deviation to the right and narrowing with irregular contours. Sigmoidscopic examination showed redness and edema of the regional sigmoidal mucosa.

 On April 19, sigmoid colectomy combined with the regional resection of mesentery was performed. Operation findings were as follows: The sigmoid was shortened and the mesentery involved showed thickness and induration with many firm nodules in various size. Microscopic examination revealed degenerated fat cells, focal aggregate of lipophages, perivascular collections of lymphocytes, and plasma cells and fibrosis.

 The final pathological diagnosis was chronic panniculitis of the mesentery. In particular, panniculitis limited only to the mesentery of the large bowel is very rare and this seems to be the first case report made in Japan.


Copyright © 1979, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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