Revista Cubana de Medicina
ISSN 0034-7523 ISSN 1561-302X
DORNES RAMON, Rolando; MARTINEZ CASTRO, Yunelkys LOPEZ BARO, Damavys. Mesenteric panniculitis. []. , 60, 4, e2677. 01--2021. ISSN 0034-7523.
Introduction:
Mesenteric panniculitis is a rare condition. It appears in late adulthood, with nonspecific clinical manifestations, it can be asymptomatic or characterized by pain, swelling and abdominal distension, a palpable mass in the abdomen. This can be a chance finding when performing radiological examinations.
Objective:
To describe the clinical-imaging characteristics, as well as the therapy used in the treatment of a patient with mesenteric panniculitis.
Case report:
We report the case of a 59-year-old white male patient, with history of hyperlipidemia, nonspecific abdominal pain and 6 months of evolution. A simple abdominal computed tomography and E / V were performed, showing thickening of the mesenteric fat and multiple nodular images at the level of the mesentery compatible with mesenteric panniculitis.
Findings:
Mesenteric panniculitis is a low prevalence disease, with greater prevalence in the sixth decade of life, which is usually found incidentally in exploratory laparotomy or abdominal computed tomography.
Conclusions:
The clinical manifestations and imaging findings of mesenteric panniculitis must be known, as well as the therapeutic variants in its treatment to avoid unnecessary surgical interventions.
: mesenteric panniculitis; mesenteritis; lipodystrophy.