Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Mesenteric Panniculitis in a Thirteen-Year-Old Korean Boy Treated with Prednisolone: A Case Report

  • Bae, Sun Hwan (Department of Pediatrics, Konkuk University School of Medicine) ;
  • Park, Se Jin (Department of Pediatrics, Konkuk University School of Medicine) ;
  • Kim, Wan Seop (Department of Pathology, Konkuk University School of Medicine) ;
  • Lee, Min Woo (Department of Radiology, Konkuk University School of Medicine) ;
  • Kim, Ji Soo (Department of General Surgery, Konkuk University School of Medicine)
  • Received : 2015.07.09
  • Accepted : 2015.10.27
  • Published : 2016.06.30
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Abstract

Pediatric mesenteric panniculitis is an extremely rare disease of unknown etiology characterized by chronic inflammation, fat necrosis, and fibrosis in the mesenteric adipose tissue. A previously healthy 13-year-old boy was admitted because of right upper abdominal pain. An abdominal computed tomography scan revealed increased attenuation and enhancement in the left upper abdominal omental fat and anterior peritoneal wall thickening. A laparoscopic biopsy showed mesenteric panniculitis with chronic inflammation, adiponecrosis, and septal fibrosis. Serological tests for autoimmune diseases, nested polymerase chain reaction for Mycobacterium tuberculosis, and special immunohistochemical stains for malignancy were all negative. Symptomatic improvement and improved abnormal findings were achieved after an 8-month treatment with prednisolone according to a follow-up abdominal computed tomography scan. Here, we report a case of pediatric mesenteric panniculitis treated with prednisolone.

Keywords

References

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  2. Mesenteric Panniculitis Can Be Diagnosed by Examination and Cured by Comprehensive Therapy vol.44, pp.4, 2016, https://doi.org/10.1097/sga.0000000000000596