Mesenteric panniculitis: Various presentations and treatment regimens

Mesenteric panniculitis: Various presentations and treatment regimens
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DOI:
10.3748/wjg.15.3827
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发表时间:
2009-08-14
影响因子:
4.3
通讯作者:
Baydoun, Hassan
Baydoun, Hassan
中科院分区:
医学2区
文献类型:
--
作者:
Issa, Iyad;Baydoun, Hassan

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肠系膜脂膜炎是一种罕见的良性慢性纤维化炎症性疾病,影响小肠和结肠肠系膜的脂肪组织。该病的具体病因尚不清楚。诊断建议由计算机断层扫描,通常是由手术活检证实。治疗是经验性的,并以少数选定的药物为基础。手术切除有时被尝试用于确定性治疗,尽管手术方法通常是有限的。我们报告两例肠系膜脂膜炎有两种不同的介绍,随后不同的治疗方案。两例患者均获得了充分的缓解。我们目前的详细资料,这些情况下,以及文献综述比较各种介绍,病因和潜在的治疗方式。(C)2009 WJG出版社和百世登。All rights reserved.
Mesenteric panniculitis is a rare, benign and chronic fibrosing inflammatory disease that affects the adipose tissue of the mesentery of the small intestine and colon. The specific etiology of the disease is unknown. The diagnosis is suggested by computed tomography and is usually confirmed by surgical biopsies. Treatment is empirical and based on a few selected drugs. Surgical resection is sometimes attempted for definitive therapy, although the surgical approach is often limited. We report two cases of mesenteric panniculitis with two different presentations and subsequently varying treatment regimens. Adequate response was obtained in both patients. We present details of these cases as well as a literature review to compare various presentations, etiologies and potential treatment modalities. (C) 2009 The WJG Press and Baishideng. All rights reserved.