Idiopathic isolated omental panniculitis presenting with intestinal obstruction

Intra-abdominal panniculitis is a rare condition characterized by intraperitoneal lipodystrophy that may manifest as a necrotic adipose lump causing symptoms due to inflammation or mass effect. Although this condition tends to primarily affect the root of the mesentery, it may affect any part of the...

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Main Author: Vipul D Yagnik
Format: Article
Language:English
Published: Wolters Kluwer Health/LWW 2018-01-01
Series:Formosan Journal of Surgery
Subjects:
Online Access:http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=4;spage=171;epage=174;aulast=Yagnik
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author Vipul D Yagnik
author_facet Vipul D Yagnik
author_sort Vipul D Yagnik
collection DOAJ
description Intra-abdominal panniculitis is a rare condition characterized by intraperitoneal lipodystrophy that may manifest as a necrotic adipose lump causing symptoms due to inflammation or mass effect. Although this condition tends to primarily affect the root of the mesentery, it may affect any part of the peritoneum, including the omentum. However, isolated omental panniculitis, in which no other site is affected, is a very rare form of intra-abdominal panniculitis and only eight cases have been reported in the literature so far. Mesenteric panniculitis, especially in the late fibrous stage of retractile mesenteritis, is known to occasionally cause intestinal obstruction by virtue of its relation to the bowel. However, omental panniculitis has only been reported to cause nonspecific inflammatory symptoms. We present a case of isolated omental panniculitis of indeterminate etiology. To the best of our knowledge, this is the first such case reported to present with intestinal obstruction.
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spelling doaj.art-fcfbf0520c5a451aa5ce50b37ba29e052023-09-03T00:32:17ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2018-01-0151417117410.4103/fjs.fjs_163_17Idiopathic isolated omental panniculitis presenting with intestinal obstructionVipul D YagnikIntra-abdominal panniculitis is a rare condition characterized by intraperitoneal lipodystrophy that may manifest as a necrotic adipose lump causing symptoms due to inflammation or mass effect. Although this condition tends to primarily affect the root of the mesentery, it may affect any part of the peritoneum, including the omentum. However, isolated omental panniculitis, in which no other site is affected, is a very rare form of intra-abdominal panniculitis and only eight cases have been reported in the literature so far. Mesenteric panniculitis, especially in the late fibrous stage of retractile mesenteritis, is known to occasionally cause intestinal obstruction by virtue of its relation to the bowel. However, omental panniculitis has only been reported to cause nonspecific inflammatory symptoms. We present a case of isolated omental panniculitis of indeterminate etiology. To the best of our knowledge, this is the first such case reported to present with intestinal obstruction.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=4;spage=171;epage=174;aulast=YagnikObstructionomental panniculitissclerosing mesenteritissurgery
spellingShingle Vipul D Yagnik
Idiopathic isolated omental panniculitis presenting with intestinal obstruction
Formosan Journal of Surgery
Obstruction
omental panniculitis
sclerosing mesenteritis
surgery
title Idiopathic isolated omental panniculitis presenting with intestinal obstruction
title_full Idiopathic isolated omental panniculitis presenting with intestinal obstruction
title_fullStr Idiopathic isolated omental panniculitis presenting with intestinal obstruction
title_full_unstemmed Idiopathic isolated omental panniculitis presenting with intestinal obstruction
title_short Idiopathic isolated omental panniculitis presenting with intestinal obstruction
title_sort idiopathic isolated omental panniculitis presenting with intestinal obstruction
topic Obstruction
omental panniculitis
sclerosing mesenteritis
surgery
url http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=4;spage=171;epage=174;aulast=Yagnik
work_keys_str_mv AT vipuldyagnik idiopathicisolatedomentalpanniculitispresentingwithintestinalobstruction