Diagnosis of mesenteric panniculitis?

summary

Mesenteric steatositis is a rare mesenteric disease. The main clinical manifestations are abdominal pain and abdominal mass. In 1960, dgder described the pathological process of the disease and pointed out that the disease was caused by extensive mesenteric thickening and subsequent fibrosis caused by nonspecific inflammation, so it was also known as mesenteric fat hypertrophy, mesenteric fat granuloma, primary mesenteric liposclerosis, isolated mesenteric lipodystrophy, retrograde mesenteritis, Weber Christian disease Idiopathic contractile mesenteritis, etc. Most of the patients had a good clinical course and had a tendency of self limitation. The symptom of mesenteric panniculitis tells everybody.

Diagnosis of mesenteric panniculitis?

The main clinical manifestation of the disease is chronic consumptive disease, including low fever, emaciation, fatigue, anorexia and weight loss, which last for several years. Abdominal manifestations of abdominal pain early lighter, mainly in the right lower abdomen, the nature of dull pain, repeated attacks, tolerable, no transfer, no radiation in other places. Sometimes the mass can be touched, accompanied by abdominal distension, nausea and vomiting. In the later stage of intestinal obstruction, abdominal pain was severe, and the nature was colic. When mesenteric vascular strangulation, intestinal necrosis, suppurative peritonitis, abdominal pain is persistent, peritoneal irritation sign.

1. Systemic support treatment, proper rest, strengthen nutrition and physical exercise, improve the body resistance. 2. Drug therapy combined with adrenocortical hormone, antibiotics and tamoxifen can control the symptoms. The purpose of exploratory laparotomy is to make a definite diagnosis (through intraoperative frozen section), remove the focus and relieve the compression of the mass on mesenteric vessels and intestinal cavity. The operation mode can be selected according to the specific situation of patients.

Mesenteric panniculitis is a rare chronic nonspecific inflammatory reaction involving mesenteric adipose tissue. Its etiology is unknown. It mainly invades the mesentery of the small intestine. It is self limited. Its clinical manifestations are weakness, emaciation, chronic low fever, loss of appetite, weight loss and other chronic consumption states. It needs to be determined in time and can support nutritional treatment, Surgical treatment should be considered when necessary.

matters needing attention

Increase health care, proper rest, strengthen nutrition and physical exercise, improve body resistance. The combined treatment of adrenocortical hormone, antibiotics and tamoxifen can control the symptoms. The disease has a tendency of self limitation and good prognosis. After months to years of supportive treatment, the patient's abdominal pain can be relieved and the abdominal mass can be reduced. If the indication is not clear, laparotomy is not suitable.