Karentzos S, Tzoutzos D, Stavropoulos G, Giannakou N, Gkiconti I, Giannakakis A
Reparto di Chirurgia Generale, Ospedale Generale, Patissia, Grecia.
Minerva Chir. 1990 Nov;45(21-22):1403-6.
Mesenteric panniculitis is an extremely rare disease in which the normal fatty architecture of the mesentery is replaced by fibrosis, necrosis and calcification. One hundred twenty-four cases of mesenteric panniculitis have been described in the literature; only five of these involved the sigmoid mesentery. The following case report is of mesenteric panniculitis confined to the sigmoid colon. Symptomatology, pathology, treatment and outcome of this disorder are discussed. It seems that this disease is a well established clinical entity of unknown etiology with a benign course and favorable outcome. Radical surgical treatment is not advised. If mesenteric panniculitis is encountered at operation, biopsy to establish the diagnosis is indicated. If the mechanical effects are significant, they should be corrected.
肠系膜脂膜炎是一种极其罕见的疾病，其中肠系膜的正常脂肪结构被纤维化、坏死和钙化所取代。文献中已描述了124例肠系膜脂膜炎病例；其中仅5例累及乙状结肠系膜。以下病例报告为局限于乙状结肠的肠系膜脂膜炎。本文讨论了该疾病的症状学、病理学、治疗方法及预后。似乎这种疾病是一种病因不明但病程良性、预后良好的已明确的临床实体。不建议进行根治性手术治疗。如果在手术中遇到肠系膜脂膜炎，应进行活检以明确诊断。如果机械性影响显著，则应予以纠正。
