Duman Mustafa, Koçak Osman, Fazli Olgaç, Koçak Cengiz, Atici Ali Emre, Duman Uğur
Kilis State Hospital, Department of General Surgery, Kilis, Turkey.
Turk J Gastroenterol. 2012 Apr;23(2):181-4. doi: 10.4318/tjg.2012.0284.
Mesenteric panniculitis is a rare, benign disease characterized by a chronic non-specific inflammatory process of mesenteric fat tissue with unknown etiology. The small bowel mesentery is affected mostly. This process rarely involves the large intestine mesentery. Mesenteric panniculitis includes symptoms as abdominal pain, nausea and vomiting, diarrhea, constipation, and fever. In our cases, we had difficulty in the preoperative diagnosis as the clinical changes imitated an obstruction or ischemia of the small bowel. All the cases required emergency abdominal surgery and partial jejunal resection. The aim of this article was to present three cases of mesenteric panniculitis of the small bowel mesentery requiring emergency surgery together with a short review of the literature.
肠系膜脂膜炎是一种罕见的良性疾病，其特征为肠系膜脂肪组织的慢性非特异性炎症过程，病因不明。小肠系膜受累最为常见，该过程很少累及大肠系膜。肠系膜脂膜炎的症状包括腹痛、恶心、呕吐、腹泻、便秘和发热。在我们的病例中，术前诊断存在困难，因为临床变化类似于小肠梗阻或缺血。所有病例均需要急诊腹部手术和部分空肠切除术。本文的目的是介绍三例需要急诊手术的小肠系膜肠系膜脂膜炎病例，并对文献进行简要回顾。
