Kaya Cemal, Bozkurt Emre, Yazıcı Pınar, İdiz Ufuk Oğuz, Tanal Mert, Mihmanlı Mehmet
Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey.
Turk J Surg. 2018 Jul 1;34(2):121-124. doi: 10.5152/turkjsurg.2018.3881. eCollection 2018.
To evaluate the diagnostic and treatment approaches for patients diagnosed with mesenteric panniculitis.
We retrospectively reviewed all patients diagnosed with mesenteric panniculitis between January 2010 and March 2016. We recorded the demographic features, clinical symptoms, laboratory values, radiological methods, treatment approach, and outcomes of the patients.
We evaluated 22 patients (17 male and five female) with a mean age of 45.8±15.7 years. The most frequent complaint was abdominal pain. The patients' histories included colon cancer (n=1), prostatic cancer (n=2), renal cell cancer (n=1), diabetes mellitus (n=4), and chronic obstructive pulmonary disease (n=1). Laboratory values revealed elevated C-reactive protein levels in 14 patients (43%). Computed tomography was performed in all the patients. Only 10 patients were followed up in the surgical ward, the remaining 12 underwent outpatient treatment. No complication associated with hospitalization or during outpatient follow-up period was observed.
Mesenteric panniculitis can be successfully treated conservatively without surgical intervention. Clinical doubt is of great importance for diagnosis, and plausible underlying malignancy should be kept in mind.
评估肠系膜脂膜炎患者的诊断和治疗方法。
我们回顾性分析了2010年1月至2016年3月期间所有诊断为肠系膜脂膜炎的患者。我们记录了患者的人口统计学特征、临床症状、实验室检查值、影像学检查方法、治疗方法及治疗结果。
我们评估了22例患者（17例男性，5例女性），平均年龄为45.8±15.7岁。最常见的症状是腹痛。患者既往病史包括结肠癌（n = 1）、前列腺癌（n = 2）、肾细胞癌（n = 1）、糖尿病（n = 4）和慢性阻塞性肺疾病（n = 1）。实验室检查值显示14例患者（43%）C反应蛋白水平升高。所有患者均进行了计算机断层扫描。只有10例患者在外科病房接受随访，其余12例接受门诊治疗。未观察到与住院或门诊随访期间相关的并发症。
肠系膜脂膜炎无需手术干预即可通过保守治疗成功治愈。临床怀疑对诊断非常重要，应牢记可能存在的潜在恶性肿瘤。
