Mohamed Hedfi, Mehdi Charfi, Ikram Messaoudi, Myriam Moussa, Habib Bouhawala, Adnene Chouchene
Service de Chirurgie Générale Hôpital Des FSI La Marsa, Tunisie.
Pan Afr Med J. 2016 Jul 8;24:206. doi: 10.11604/pamj.2016.24.206.9322. eCollection 2016.
Mesenteric panniculitis is a nonspecific inflammation involving the mesentery. Its clinical presentation is variable depending on the stage of the disease. Clinical signs are usually pain but half of the patients remain asymptomatic. Palpable abdominal mass, weight loss, nausea and vomiting. There may be an inflammatory syndrome of variable intensity. Panniculitis is suspected based on scan showing hyperdense mesentery with adhesions to adjacent organs. Histologically there is adipocyte degeneration causing foreign body reaction and appear lymphoplasmacytic inflammatory lesions. We report a new case of mesenteric panniculitis associated with acute pancreatitis.