肠系膜脂膜炎的多种表现及管理：一家机构十年的经验
Mesenteric panniculitis various presentations and management: A single institute ten years, experience.
作者信息
Alsuhaimi Mohammed A, Alshowaiey Rana A, Alsumaihi Abdulrahman S, Aldhafeeri Sahar M
机构信息
Department of Surgery, Dammam Medical Complex, Saudi Arabia.
出版信息
Ann Med Surg (Lond). 2022 Jul 16;80:104203. doi: 10.1016/j.amsu.2022.104203. eCollection 2022 Aug.
Mesenteric Panniculitis (MP) is predominately a disease of the small bowel of unknown etiology. Characterized by Fibrosis and chronic inflammation of fatty tissue of the mesentery in the small bowel. It is commonly diagnosed based on computed tomography (CT scan) with IV contrast and biopsies in equivocal cases. We a retrospective study from 2011 to 2020. We analyzed the medical records of 40 patients with Mesenteric Panniculitis. The most common presentation was vague abdominal symptoms. We successfully managed the patients medically with prednisone, azathioprine, colchicine, Patients on prednisolone showed good responses clinically and radiologically during follow-up. One patient was operated on and didn't respond to medical therapy.
肠系膜脂膜炎（MP）主要是一种病因不明的小肠疾病。其特征为小肠系膜脂肪组织的纤维化和慢性炎症。通常通过静脉注射造影剂的计算机断层扫描（CT扫描）进行诊断，在诊断不明确的情况下则进行活检。我们进行了一项2011年至2020年的回顾性研究。我们分析了40例肠系膜脂膜炎患者的病历。最常见的表现是腹部症状不明确。我们用泼尼松、硫唑嘌呤、秋水仙碱对患者进行了成功的药物治疗，服用泼尼松龙的患者在随访期间临床和影像学表现良好。有一名患者接受了手术，但对药物治疗无反应。
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