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采用泼尼松保守治疗的硬化性肠系膜炎症

Sclerosing Mesenteritis Managed Conservatively With Prednisone.

作者信息

Gande Saipriya, Nguyen Natalie N, Stead Thor S, Mangal Rohan, Ganti Latha

机构信息

Medicine, Academy at the Lakes, Lutz, USA.

Biology and Medicine, Brown University, Providence, USA.

出版信息

Cureus. 2023 Feb 24;15(2):e35419. doi: 10.7759/cureus.35419. eCollection 2023 Feb.

DOI:10.7759/cureus.35419
PMID:36987491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10040226/
Abstract

The authors present the case of a middle-aged lady with two weeks of abdominal pain. Computed tomography imaging revealed sclerosing mesenteritis. Sclerosing mesenteritis is also known as mesenteric panniculitis and is a chronic fibrosing inflammatory disease that primarily affects the adipose tissue of the mesentery in the small intestine and colon. The clinical presentation, imaging findings, differential diagnosis, and therapeutic management are presented in this report. In our patient's case, she was able to be managed conservatively, without the need for surgery. This reflects the most benign and self-limiting natural history of the disease.

摘要

作者报告了一位患有两周腹痛的中年女性病例。计算机断层扫描成像显示为硬化性肠系膜炎症。硬化性肠系膜炎症也被称为肠系膜脂膜炎,是一种慢性纤维化炎症性疾病,主要影响小肠和结肠系膜的脂肪组织。本报告介绍了其临床表现、影像学检查结果、鉴别诊断及治疗处理。就我们这位患者的情况而言,她能够通过保守治疗,无需手术。这反映了该疾病最良性且自限性的自然病程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/612d/10040226/cfdf322afbab/cureus-0015-00000035419-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/612d/10040226/e59f71871940/cureus-0015-00000035419-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/612d/10040226/1f6ce4a27555/cureus-0015-00000035419-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/612d/10040226/4bc1ab79a709/cureus-0015-00000035419-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/612d/10040226/cfdf322afbab/cureus-0015-00000035419-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/612d/10040226/e59f71871940/cureus-0015-00000035419-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/612d/10040226/1f6ce4a27555/cureus-0015-00000035419-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/612d/10040226/4bc1ab79a709/cureus-0015-00000035419-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/612d/10040226/cfdf322afbab/cureus-0015-00000035419-i04.jpg

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引用本文的文献

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J Surg Case Rep. 2025 Jul 11;2025(7):rjaf415. doi: 10.1093/jscr/rjaf415. eCollection 2025 Jul.

本文引用的文献

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Key signs indicating mesenteric panniculitis.提示肠系膜脂膜炎的关键体征。
Clin Case Rep. 2022 Dec 8;10(12):e6654. doi: 10.1002/ccr3.6654. eCollection 2022 Dec.
2
Sclerosing Mesenteritis: A Rare Cause of Abdominal Pain.硬化性肠系膜脂膜炎:腹痛的罕见病因
Cureus. 2022 Aug 30;14(8):e28573. doi: 10.7759/cureus.28573. eCollection 2022 Aug.
3
Ultrasonography-Based Management of Sclerosing Mesenteritis: From Diagnosis to Follow-Up.基于超声检查的硬化性肠系膜炎管理:从诊断到随访
Int Med Case Rep J. 2021 Mar 26;14:187-190. doi: 10.2147/IMCRJ.S290507. eCollection 2021.
4
A rare case report of immunoglobulin G4-related sclerosing mesenteritis and review of the literature.免疫球蛋白G4相关性硬化性肠系膜脂膜炎一例罕见病例报告及文献复习
Medicine (Baltimore). 2020 Oct 9;99(41):e22579. doi: 10.1097/MD.0000000000022579.
5
Clinical and radiological features of mesenteric panniculitis: a critical overview.肠系膜脂膜炎的临床和影像学特征:批判性综述。
Acta Biomed. 2019 Dec 23;90(4):411-422. doi: 10.23750/abm.v90i4.7696.
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Sclerosing Mesenteritis.硬化性肠系膜炎。
Am J Gastroenterol. 2019 Jun;114(6):867-873. doi: 10.14309/ajg.0000000000000167.
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Sclerosing mesenteritis.硬化性肠系膜炎症
Tzu Chi Med J. 2018 Apr-Jun;30(2):122-123. doi: 10.4103/tcmj.tcmj_62_18.
8
Sclerosing mesenteritis: a systematic review of 192 cases.硬化性肠系膜脂膜炎:192例病例的系统评价
Clin J Gastroenterol. 2017 Apr;10(2):103-111. doi: 10.1007/s12328-017-0716-5. Epub 2017 Feb 14.
9
A case of sclerosing mesenteritis with spontaneous resolution with steroid therapy.
Clin J Gastroenterol. 2014 Aug;7(4):346-8. doi: 10.1007/s12328-014-0497-z. Epub 2014 May 31.
10
The medical mystery of the fatty mesentery.脂肪肠系膜的医学谜团。
BMJ Case Rep. 2012 Aug 27;2012:bcr1220115443. doi: 10.1136/bcr.12.2011.5443.