Harvin Glenn, Graham Adam
Department of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, N.C., USA.
Division of Gastroenterology, Hepatology and Nutrition, Brody School of Medicine, East Carolina University, Greenville, N.C., USA.
Case Rep Gastroenterol. 2016 May 19;10(1):63-7. doi: 10.1159/000444413. eCollection 2016 Jan-Apr.
Sclerosing mesenteritis falls within a spectrum of primary idiopathic inflammatory and fibrotic processes that affect the mesentery. The exact etiology has not been determined, although the following associations have been noted: abdominal surgery, trauma, autoimmunity, paraneoplastic syndrome, ischemia and infection. Progression of sclerosing mesentritis can lead to bowel obstruction, a rare complication of this uncommon condition. We report a case of a 66-year-old female with abdominal pain who was noted to have a small bowel obstruction requiring laparotomy and a partial small bowel resection. The pathology of the resected tissue was consistent with sclerosing mesenteritis, a rare cause of a small bowel obstruction. Sclerosing mesenteritis has variable rates of progression, and there is no consensus regarding the optimal treatment. Physicians should consider sclerosing mesenteritis in the differential diagnosis of a small bowel obstruction.
硬化性肠系膜炎症属于影响肠系膜的原发性特发性炎症和纤维化过程范畴。尽管已注意到以下关联因素：腹部手术、创伤、自身免疫、副肿瘤综合征、缺血和感染，但确切病因尚未确定。硬化性肠系膜炎症的进展可导致肠梗阻，这是这种罕见病症的一种罕见并发症。我们报告一例66岁腹痛女性病例，该患者被发现患有小肠梗阻，需要进行剖腹手术和部分小肠切除术。切除组织的病理与硬化性肠系膜炎症相符，这是小肠梗阻的一种罕见病因。硬化性肠系膜炎症的进展速度不一，关于最佳治疗方法尚无共识。医生在小肠梗阻的鉴别诊断中应考虑硬化性肠系膜炎症。
