Delgado Plasencia L, Rodríguez Ballester L, López-Tomassetti Fernández E M, Hernández Morales A, Carrillo Pallarés A, Hernández Siverio N
Departamentos de Cirugía Gastrointestinal, Hospital Universitario de Canarias, La Laguna, Santa Cruz de Tenerife.
Rev Esp Enferm Dig. 2007 May;99(5):291-7. doi: 10.4321/s1130-01082007000500010.
Although several etiological factors have been associated with mesenteric panniculitis, the exact etiology in some cases remains unknown. Herein, we present a retrospective analysis of 8 patients affected with this disorder performed between May 2000 and December 2006. In our series the mean age at which patients presented was 63 years. The majority of the patients were male (with a male: female ratio of 3:1). The most common clinical manifestations were abdominal pain (n = 4) and asthenia (n = 4). Three cases presented with obstructive symptoms and three had a history of abdominal surgery. Notably, seven had a background of tobacco use (five smokers and two ex-smokers) and one patient developed follicular lymphoma. A literature research was carried out to analyze our results and formulate a new hypothesis. In our opinion, we believe that the study of causal factors such as tobacco and its components is required due to the strong association found in this study.
尽管多种病因与肠系膜脂膜炎相关，但某些病例的确切病因仍不明。在此，我们对2000年5月至2006年12月间8例患此病的患者进行回顾性分析。在我们的系列研究中，患者就诊时的平均年龄为63岁。大多数患者为男性（男女比例为3:1）。最常见的临床表现为腹痛（n = 4）和乏力（n = 4）。3例出现梗阻症状，3例有腹部手术史。值得注意的是，7例有吸烟史（5例吸烟者和2例既往吸烟者），1例患者患滤泡性淋巴瘤。进行文献研究以分析我们的结果并提出新假说。我们认为，鉴于本研究发现的强关联，需要对烟草及其成分等病因因素进行研究。
