A case of mesenteric panniculitis

Submitted: 17 February 2013
Accepted: 17 February 2013
Published: 19 August 2009
Abstract Views: 2523
PDF: 24760
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Mesenteric panniculitis is a rare disease leading to recurrent acute abdominal pain, whose recognition is important in order to avoid any unwarranted aggressive surgery. A case of this condition is described. The patient, a 73-year-old man, attended our emergency room with acute abdominal pain, fever and prolonged partial thromboplastin time. He had a history of recurrent emergency department access and complained of the same rapidly reversible clinical picture. Findings at abdominal CT and at diagnostic laparascopy performed during admission, including histology of a biopsy, helped reach a correct diagnosis and treatment. This brief report from literature analysis presents what is known so far about the diagnosis and treatment of mesenteric panniculitis. Finally we briefly discuss some peculiar pathogenesis and hypothesis.



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Giovanni Volpicelli, Medicina d’Urgenza, Ospedale S. Luigi Gonzaga, Orbassano (TO)
Walter Saracco, Medicina d’Urgenza, Ospedale Generale di Asti

How to Cite

Volpicelli, G., & Saracco, W. (2009). A case of mesenteric panniculitis. Emergency Care Journal, 5(4), 27–29. https://doi.org/10.4081/ecj.2009.4.27