Browse > Article
http://dx.doi.org/10.5223/pghn.2016.19.2.143

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)
Publication Information
Pediatric Gastroenterology, Hepatology & Nutrition / v.19, no.2, 2016 , pp. 143-146 More about this Journal
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
Mesenteric panniculitis; Prednisolone; Child;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Ginsburg PM, Ehrenpreis ED. A pilot study of thalidomide for patients with symptomatic mesenteric panniculitis. Aliment Pharmacol Ther 2002;16:2115-22.   DOI
2 Parra-Davila E, McKenney MG, Sleeman D, Hartmann R, Rao RK, McKenney K, et al. Mesenteric panniculitis: case report and literature review. Am Surg 1998; 64:768-71.
3 Coulier B. Mesenteric panniculitis. Part 2: prevalence and natural course: MDCT prospective study. JBRBTR 2011;94:241-6.
4 Wat SY, Harish S, Winterbottom A, Choudhary AK, Freeman AH. The CT appearances of sclerosing mesenteritis and associated diseases. Clin Radiol 2006; 61:652-8.   DOI
5 Emory TS, Monihan JM, Carr NJ, Sobin LH. Sclerosing mesenteritis, mesenteric panniculitis and mesenteric lipodystrophy: a single entity? Am J Surg Pathol 1997;21:392-8.   DOI
6 Soergel KH, Hensley GT. Fatal mesenteric panniculitis. Gastroenterology 1966;51:529-36.
7 Akram S, Pardi DS, Schaffner JA, Smyrk TC. Sclerosing mesenteritis: clinical features, treatment, and outcome in ninety-two patients. Clin Gastroenterol Hepatol 2007;5:589-96.   DOI
8 Tedeschi CG, Botta GC. Retractile mesenteritis. N Engl J Med 1962;266:1035-40.   DOI
9 Tytgat GN, Roozendaal K, Winter W, Esseveld MR. Successful treatment of a patient with retractile mesenteritis with prednisone and azathioprine. Gastroenterology 1980;79:352-6.
10 Issa I, Baydoun H. Mesenteric panniculitis: various presentations and treatment regimens. World J Gastroenterol 2009;15:3827-30.   DOI
11 Durst AL, Freund H, Rosenmann E, Birnbaum D. Mesenteric panniculitis: review of the leterature and presentation of cases. Surgery 1977;81:203-11.
12 Horton KM, Lawler LP, Fishman EK. CT findings in sclerosing mesenteritis (panniculitis): spectrum of disease. Radiographics 2003;23:1561-7.   DOI
13 Cakmak O, Tanyel FC, Caglar M, Gogus S. Mesenteric panniculitis mimicking acute abdomen in a 4-year-old child. Z Kinderchir 1986;41:313-4.
14 Hakguder G, Akgur FM, Olguner M, Ozer E, Aktug T. A case of mesenteric panniculitis in a 4-year-old child. Pediatr Int 2000;42:577-8.   DOI
15 Davis CF, Guzzetta PC, Patterson K. Primary (retractile) mesenteritis in a child. J Pediatr Surg 1992; 27:1544-5.   DOI
16 Spark RB, Yakovac WC, Wagget J. Retractile sclerosing mesenteritis. Case report. Clin Pediatr (Phila) 1971;10:119-22.   DOI
17 Viswanathan V, Murray KJ. Idiopathic sclerosing mesenteritis in paediatrics: Report of a successfully treated case and a review of literature. Pediatr Rheumatol Online J 2010;8:5.   DOI
18 Ogden WW 2nd, Bradburn DM, Rives JD. Mesenteric panniculitis: review of 27 cases. Ann Surg 1965;161: 864-75.   DOI
19 Rumman N, Rumman G, Sharabati B, Zagha R, Disi N. Mesenteric panniculitis in a child misdiagnosed as appendicular mass: a case report and review of literature. Springerplus 2014;3:73.   DOI
20 Ferrari TC, Couto CM, Vilaca TS, Xavier MA, Faria LC. An unusual presentation of mesenteric panniculitis. Clinics (Sao Paulo) 2008;63:843-4.