Conservative Management of Mesenteric Panniculitis in a Remote Island
Introduction. Mesenteric panniculitis (MP) includes a spectrum of nonspecific fibroinflammatory disorders of unknown aetiology that affects mainly the root of the mesentery. Case Report. A 68-year-old man is incidentally diagnosed with MP during follow-up investigation for a fusiform coeliac artery...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2023-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2023/3335738 |
| _version_ | 1797837339563655168 |
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| author | Paschalis Gavriilidis Nicola de’ Angelis |
| author_facet | Paschalis Gavriilidis Nicola de’ Angelis |
| author_sort | Paschalis Gavriilidis |
| collection | DOAJ |
| description | Introduction. Mesenteric panniculitis (MP) includes a spectrum of nonspecific fibroinflammatory disorders of unknown aetiology that affects mainly the root of the mesentery. Case Report. A 68-year-old man is incidentally diagnosed with MP during follow-up investigation for a fusiform coeliac artery aneurysm. Four years since the diagnosis, he is completely asymptomatic. After discussing with him and presenting the current evidence, he decided not to proceed with biopsy because the finding was incidental and he is asymptomatic. Moreover, tumour markers were within the normal range. He has been scheduled for annual follow-ups with computerized tomography (CT) scans and tumour markers. Conclusions. MP is a rare chronic fibroinflammatory disease with contradictory evidence regarding its definition and management. Watchful follow-ups with CT scan and tumour markers are recommended for asymptomatic patients. |
| first_indexed | 2024-04-09T15:23:07Z |
| format | Article |
| id | doaj.art-e935de6fdbce497b8183e3944a45b8cf |
| institution | Directory Open Access Journal |
| issn | 2090-6919 |
| language | English |
| last_indexed | 2024-04-09T15:23:07Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj.art-e935de6fdbce497b8183e3944a45b8cf2023-04-29T00:00:05ZengHindawi LimitedCase Reports in Surgery2090-69192023-01-01202310.1155/2023/3335738Conservative Management of Mesenteric Panniculitis in a Remote IslandPaschalis Gavriilidis0Nicola de’ Angelis1Department of SurgeryColorectal and Digestive Surgery Unit at Hospital BeaujonIntroduction. Mesenteric panniculitis (MP) includes a spectrum of nonspecific fibroinflammatory disorders of unknown aetiology that affects mainly the root of the mesentery. Case Report. A 68-year-old man is incidentally diagnosed with MP during follow-up investigation for a fusiform coeliac artery aneurysm. Four years since the diagnosis, he is completely asymptomatic. After discussing with him and presenting the current evidence, he decided not to proceed with biopsy because the finding was incidental and he is asymptomatic. Moreover, tumour markers were within the normal range. He has been scheduled for annual follow-ups with computerized tomography (CT) scans and tumour markers. Conclusions. MP is a rare chronic fibroinflammatory disease with contradictory evidence regarding its definition and management. Watchful follow-ups with CT scan and tumour markers are recommended for asymptomatic patients.http://dx.doi.org/10.1155/2023/3335738 |
| spellingShingle | Paschalis Gavriilidis Nicola de’ Angelis Conservative Management of Mesenteric Panniculitis in a Remote Island Case Reports in Surgery |
| title | Conservative Management of Mesenteric Panniculitis in a Remote Island |
| title_full | Conservative Management of Mesenteric Panniculitis in a Remote Island |
| title_fullStr | Conservative Management of Mesenteric Panniculitis in a Remote Island |
| title_full_unstemmed | Conservative Management of Mesenteric Panniculitis in a Remote Island |
| title_short | Conservative Management of Mesenteric Panniculitis in a Remote Island |
| title_sort | conservative management of mesenteric panniculitis in a remote island |
| url | http://dx.doi.org/10.1155/2023/3335738 |
| work_keys_str_mv | AT paschalisgavriilidis conservativemanagementofmesentericpanniculitisinaremoteisland AT nicoladeangelis conservativemanagementofmesentericpanniculitisinaremoteisland |