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腹腔镜检查时偶尔发现肠系膜脂肪营养不良:诊断困难。

Occasional finding of mesenteric lipodystrophy during laparoscopy: a difficult diagnosis.

作者信息

Vettoretto Nereo, Diana Domenico-Roberto, Poiatti Roberto, Matteucci Armando, Chioda Caterina, Giovanetti Maurizio

机构信息

General and Vascular Surgery, Az. Osp. M. Mellini, V.le Mazzini 4, Chiari (BS) 25032, Italy.

出版信息

World J Gastroenterol. 2007 Oct 28;13(40):5394-6. doi: 10.3748/wjg.v13.i40.5394.

DOI:10.3748/wjg.v13.i40.5394
PMID:17879414
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4171334/
Abstract

Mesenteric lipodystrophy is a rare pathological condition affecting the mesentery. Its initial presentation is typically asymptomatic. Pathological characteristics are unspecific, and generally attributed to inflammation, unless the diagnosis is suspected. Laparoscopy done for other reasons has been, as in this case, unsuccessful in providing evidence for the correct diagnosis, thus requiring laparotomy due to lack of diagnostic tissue. After 6 mo no further medical therapy is required, as the patient remains asymptomatic. Discussion of this case and a brief review of the literature are presented in the following paragraphs.

摘要

肠系膜脂肪营养不良是一种影响肠系膜的罕见病理状况。其初始表现通常无症状。病理特征不具有特异性,一般归因于炎症,除非怀疑有该诊断。如本例中因其他原因进行的腹腔镜检查未能成功提供正确诊断的证据,因此由于缺乏诊断性组织而需要进行剖腹手术。6个月后,由于患者仍无症状,无需进一步药物治疗。以下段落将对该病例进行讨论并简要回顾文献。

相似文献

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Occasional finding of mesenteric lipodystrophy during laparoscopy: a difficult diagnosis.腹腔镜检查时偶尔发现肠系膜脂肪营养不良:诊断困难。
World J Gastroenterol. 2007 Oct 28;13(40):5394-6. doi: 10.3748/wjg.v13.i40.5394.
2
Sclerosing mesenteritis, mesenteric panniculitis and mesenteric lipodystrophy: a single entity?硬化性小肠炎、肠系膜脂膜炎和肠系膜脂肪营养不良:是同一实体吗?
Am J Surg Pathol. 1997 Apr;21(4):392-8. doi: 10.1097/00000478-199704000-00004.
3
[Mesenteric panniculitis in the differential diagnosis of abdominal pain].[肠系膜脂膜炎在腹痛鉴别诊断中的作用]
Rev Esp Enferm Dig. 1996 Jul;88(7):505-8.
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[Severe weight loss at the beginning of mesenteric panniculitis].
An Med Interna. 1995 Dec;12(12):597-9.
5
Mesenteric lipodystrophy with fever of unknown origin and mesenteric calcifications.
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[Misty mesentery : Mesenteric panniculitis and associated processes].[云雾状肠系膜:肠系膜脂膜炎及相关病变]
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A systematic investigation of sclerosing mesenteritis through CT and MRI.通过CT和MRI对硬化性肠系膜脂膜炎进行系统研究。
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The chance case history of an unusual disease: mesenteric panniculitis.一例罕见疾病——肠系膜脂膜炎的偶然病史。
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Efficacy of colchicine in the treatment of mesenteric panniculitis in a young patient.秋水仙碱治疗青年肠系膜脂膜炎的疗效。
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Beta-catenin immunohistochemistry separates mesenteric fibromatosis from gastrointestinal stromal tumor and sclerosing mesenteritis.β-连环蛋白免疫组化可将肠系膜纤维瘤病与胃肠道间质瘤及硬化性肠系膜炎区分开来。
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Mesenteric panniculitis associated with abdominal tuberculous lymphadenitis: a case report and review of the literature.肠系膜脂膜炎合并腹部结核性淋巴结炎:一例报告并文献复习
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Arch Pathol Lab Med. 2001 Mar;125(3):443-4. doi: 10.5858/2001-125-0443-PQCALM.
9
Inflammatory pseudotumor causing small bowel obstruction and mimicking lymphoma in a patient with AIDS: clinical improvement after initiation of thalidomide treatment.炎性假瘤导致艾滋病患者小肠梗阻并酷似淋巴瘤:沙利度胺治疗开始后临床症状改善
Clin Infect Dis. 2000 May;30(5):826-31. doi: 10.1086/313768.
10
General case of the day. Mesenteric panniculitis with extensive inflammatory involvement of the peritoneum and intraperitoneal structures.当日普通病例。肠系膜脂膜炎,伴有腹膜和腹腔内结构广泛的炎症累及。
Radiographics. 1999 Jul-Aug;19(4):1083-5. doi: 10.1148/radiographics.19.4.g99jl221083.