Gavriilidis Paschalis, De' Angelis Nicola
Department of Surgery, Saint Helena General Hospital, Jamestown, STHL 1ZZ, Saint Helena, UK.
Colorectal and Digestive Surgery Unit at Hospital Beaujon, 100 Bd du Général Leclerc, Clichy 92110, France.
Case Rep Surg. 2023 Apr 21;2023:3335738. doi: 10.1155/2023/3335738. eCollection 2023.
Mesenteric panniculitis (MP) includes a spectrum of nonspecific fibroinflammatory disorders of unknown aetiology that affects mainly the root of the mesentery. . A 68-year-old man is incidentally diagnosed with MP during follow-up investigation for a fusiform coeliac artery aneurysm. Four years since the diagnosis, he is completely asymptomatic. After discussing with him and presenting the current evidence, he decided not to proceed with biopsy because the finding was incidental and he is asymptomatic. Moreover, tumour markers were within the normal range. He has been scheduled for annual follow-ups with computerized tomography (CT) scans and tumour markers.
MP is a rare chronic fibroinflammatory disease with contradictory evidence regarding its definition and management. Watchful follow-ups with CT scan and tumour markers are recommended for asymptomatic patients.
肠系膜脂膜炎（MP）包括一系列病因不明的非特异性纤维炎性疾病，主要影响肠系膜根部。一名68岁男性在对梭形腹腔动脉动脉瘤进行随访检查时偶然被诊断为MP。确诊四年后，他完全没有症状。在与他讨论并展示现有证据后，他决定不进行活检，因为这一发现是偶然的且他没有症状。此外，肿瘤标志物在正常范围内。他已被安排每年进行计算机断层扫描（CT）和肿瘤标志物检查。
MP是一种罕见的慢性纤维炎性疾病，关于其定义和管理存在相互矛盾的证据。对于无症状患者，建议通过CT扫描和肿瘤标志物进行密切随访。
