경화성 장간막염

• Published in: Annals of surgical treatment and research Vol. 71; no. 3; pp. 218 - 221
• Main Authors: 이석윤(Seok Yun Lee), 박동은(Dong-Eun Park), 채권묵(Kwon-Mook Chae)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.09.2006
• Subjects: 일반외과학; Mesenteric panniculitis; Sclerosing mesenteritis; 창자간막 지방층염; 경화성 장간막염; Retractile mesenteritis; 신축성 장간막염
• ISSN: 2288-6575; 2288-6796

Sclerosing mesenteritis is a rare condition; it’s an idiopathic nonspecific inflammatory process in the adipose tissue of the small bowel mesentery. It often develops into huge masses that contain necrotic fat, and these masses mimick malignancy. It has two pathologically different variants: mesenteric panniculitis (acute or subacute) and retractile-mesenteritis (chronic). Although infection, trauma, local ischemia, surgery and malignancy have been implicated in the etiology of this disease, the exact causes are unknown. The disease usually has a favorable prognosis. The diagnosis is confirmed by biopsy. A 59 year-old man visited in our hospital with vague abdominal pain and diarrhea that he had suffered with during the previous three months. A computed tomography (CT) scan showed a dilated small intestine and also masses in the small bowel mesentery. On the operative findings, fibrous masses were noted in the mesentery. The pathologic report revealed sclerosing mesenteritis. We report here on a case of sclerosing mesenteritis along with a review of the literatures. (J Korean Surg Soc 2006;71:218-221) KCI Citation Count: 4