A case of retroperitoneal panniculitis with paralytic ileus mimicking a high intestinal obstruction
Background: Retroperitoneal panniculitis is a rare, benign, and nonspecific inflammatory disease that affects the retroperitoneal adipose tissue. The specific cause of the disease is unknown. The diagnosis is evoked by computed tomography (CT) and is rarely confirmed by biopsies. Surgical resection...
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| Format: | Article |
| Language: | English |
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Discover STM Publishing Ltd
2023-06-01
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| Series: | Saudi Journal of Emergency Medicine |
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| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=125847 |
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| author | Anwar Rahali Noureddine Njoumi Mohammed Rebbani Yasser El Brahmi Mohammed Elfahssi Abderrahman Elhjouji Aziz Zentar Abdelmounaim Ait Ali |
| author_facet | Anwar Rahali Noureddine Njoumi Mohammed Rebbani Yasser El Brahmi Mohammed Elfahssi Abderrahman Elhjouji Aziz Zentar Abdelmounaim Ait Ali |
| author_sort | Anwar Rahali |
| collection | DOAJ |
| description | Background: Retroperitoneal panniculitis is a rare, benign, and nonspecific inflammatory disease that affects the retroperitoneal adipose tissue. The specific cause of the disease is unknown. The diagnosis is evoked by computed tomography (CT) and is rarely confirmed by biopsies. Surgical resection is sometimes attempted for complicated forms. A case of a 22-year-old man was presented who was diagnosed with retroperitoneal panniculitis, further, a literature review was also conducted to compare various presentations, etiologies, and potential treatment modalities.
Case presentation: A 22-year-old man presented to the emergency department with acute abdominal pain and episodes of postprandial vomiting. A physical examination revealed marked epigastric tenderness accompanied by abdominal distension. The blood examination revealed normal lipase and amylase levels. An abdominal contrast-enhanced CT showed retroperitoneal panniculitis complicated by a paralytic ileus. A self-limiting course of the disease was obtained by adopting a conservative approach. After 20 days, there were no abnormal findings on CT and the patient was referred to internal medicine consultation for additional care.
Conclusion: Diagnosis of retroperitoneal panniculitis is a real challenge to surgeons, gastroenterologists, radiologists, and pathologists. Consequently, it is imperative that all hospital practitioners should distinguish between this benign lesion and malignant diseases. [SJEMed 2023; 4(1.000): 305-307] |
| first_indexed | 2024-03-13T01:38:49Z |
| format | Article |
| id | doaj.art-6b2be98b22b54aa38e7cf89fa3cfb73a |
| institution | Directory Open Access Journal |
| issn | 1658-8487 |
| language | English |
| last_indexed | 2024-03-13T01:38:49Z |
| publishDate | 2023-06-01 |
| publisher | Discover STM Publishing Ltd |
| record_format | Article |
| series | Saudi Journal of Emergency Medicine |
| spelling | doaj.art-6b2be98b22b54aa38e7cf89fa3cfb73a2023-07-03T16:14:27ZengDiscover STM Publishing LtdSaudi Journal of Emergency Medicine1658-84872023-06-014130530710.24911/SJEMed/72-1667162317125847A case of retroperitoneal panniculitis with paralytic ileus mimicking a high intestinal obstructionAnwar Rahali0Noureddine Njoumi1Mohammed Rebbani2Yasser El Brahmi3Mohammed Elfahssi4Abderrahman Elhjouji5Aziz Zentar6Abdelmounaim Ait AliSenior Resident, General Surgery, Department of Visceral Surgery II, Mohammed V Military Teaching Hospital, Rabat, Morocco Professor, General Surgery, Department of Visceral Surgery II, Mohammed V Military Teaching Hospital, Rabat, Morocco Senior Resident, General Surgery, Department of Visceral Surgery II, Mohammed V Military Teaching Hospital, Rabat, Morocco Professor, General Surgery, Department of Visceral Surgery II, Mohammed V Military Teaching Hospital, Rabat, Morocco Professor, General Surgery, Department of Visceral Surgery II, Mohammed V Military Teaching Hospital, Rabat, Morocco Professor, General Surgery, Department of Visceral Surgery II, Mohammed V Military Teaching Hospital, Rabat, Morocco Professor, General Surgery, Department of Visceral Surgery II, Mohammed V Military Teaching Hospital, Rabat, Morocco.Background: Retroperitoneal panniculitis is a rare, benign, and nonspecific inflammatory disease that affects the retroperitoneal adipose tissue. The specific cause of the disease is unknown. The diagnosis is evoked by computed tomography (CT) and is rarely confirmed by biopsies. Surgical resection is sometimes attempted for complicated forms. A case of a 22-year-old man was presented who was diagnosed with retroperitoneal panniculitis, further, a literature review was also conducted to compare various presentations, etiologies, and potential treatment modalities. Case presentation: A 22-year-old man presented to the emergency department with acute abdominal pain and episodes of postprandial vomiting. A physical examination revealed marked epigastric tenderness accompanied by abdominal distension. The blood examination revealed normal lipase and amylase levels. An abdominal contrast-enhanced CT showed retroperitoneal panniculitis complicated by a paralytic ileus. A self-limiting course of the disease was obtained by adopting a conservative approach. After 20 days, there were no abnormal findings on CT and the patient was referred to internal medicine consultation for additional care. Conclusion: Diagnosis of retroperitoneal panniculitis is a real challenge to surgeons, gastroenterologists, radiologists, and pathologists. Consequently, it is imperative that all hospital practitioners should distinguish between this benign lesion and malignant diseases. [SJEMed 2023; 4(1.000): 305-307]http://www.ejmanager.com/fulltextpdf.php?mno=125847retroperitoneal panniculitisparalytic ileusct scanconservative approachcase report |
| spellingShingle | Anwar Rahali Noureddine Njoumi Mohammed Rebbani Yasser El Brahmi Mohammed Elfahssi Abderrahman Elhjouji Aziz Zentar Abdelmounaim Ait Ali A case of retroperitoneal panniculitis with paralytic ileus mimicking a high intestinal obstruction Saudi Journal of Emergency Medicine retroperitoneal panniculitis paralytic ileus ct scan conservative approach case report |
| title | A case of retroperitoneal panniculitis with paralytic ileus mimicking a high intestinal obstruction |
| title_full | A case of retroperitoneal panniculitis with paralytic ileus mimicking a high intestinal obstruction |
| title_fullStr | A case of retroperitoneal panniculitis with paralytic ileus mimicking a high intestinal obstruction |
| title_full_unstemmed | A case of retroperitoneal panniculitis with paralytic ileus mimicking a high intestinal obstruction |
| title_short | A case of retroperitoneal panniculitis with paralytic ileus mimicking a high intestinal obstruction |
| title_sort | case of retroperitoneal panniculitis with paralytic ileus mimicking a high intestinal obstruction |
| topic | retroperitoneal panniculitis paralytic ileus ct scan conservative approach case report |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=125847 |
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