A CASE OF RECCURENCE OF MESENTERIC PANICULITIS AFTER REMISSION WITH CONSERVATIVE THERAPY DEMANDED SURGICAL RESECTION

A 54-year-old woman was seen at the hospital because of left lower abdominal pain. Physical examination showed fever and peritoneal signs. Pelvic CT scan showed remarkable thickening of the wall of the sigmoid colon and a high-density fat area that was close to the intestine. Antibiotics and parenta...

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Bibliographic Details
Published inNihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 65; no. 1; pp. 130 - 134
Main Authors HONMA, Hideyuki, TANAKA, Shuji, KIHARA, Hajime, HIROTA, Masaki
Format Journal Article
LanguageEnglish
Published Japan Surgical Association 25.01.2004
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Summary:A 54-year-old woman was seen at the hospital because of left lower abdominal pain. Physical examination showed fever and peritoneal signs. Pelvic CT scan showed remarkable thickening of the wall of the sigmoid colon and a high-density fat area that was close to the intestine. Antibiotics and parental nutrition were effective and she recovered from abdominal pain. Eight days after discharged from the hospital, she suffered from left lower abdominal pain again. Intrapelvic abscess and stenosis of the sigmoid colon of unknown origin were diagnosed by CT scan. Sigmoidectomy was performed and we got pathological diagnosis of mesenteric paniculitis. Commonly, mesenteric paniculitis is a self-limited disease and recurrent cases were rare. But there are some recurred cases after non-surgical therapy like in our case. We would emphasize the necessity of close follow up after a remission of mesenteric paniculitis which has been achieved by conservative therapy.
ISSN:1345-2843
1882-5133
DOI:10.3919/jjsa.65.130