Ibrahim Mohamad Ali, El Kouzi Zakaria, El Mokahal Ali, Omran Nadine, Muallem Nadim, Sharara Ala I
Division of Gastroenterology, Clemenceau Medical Center, Dubai, United Arab Emirates.
Division of Gastroenterology, American University of Beirut Medical Center, Beirut, Lebanon.
Inflamm Intest Dis. 2024 May 22;9(1):157-164. doi: 10.1159/000539432. eCollection 2024 Jan-Dec.
Mesenteric panniculitis (MP) is an uncommon non-neoplastic idiopathic inflammation of adipose tissue, mainly affecting the mesentery of the small intestine, with its etiology remaining largely speculative. The difference in prevalence of MP among females and males varies across multiple studies. In most cases, MP is asymptomatic; however, patients can present with nonspecific abdominal symptoms or can mimic underlying gastrointestinal and abdominal diseases. The diagnosis is suggested by computed tomography and is usually confirmed by surgical biopsies if necessary. Treatment is generally supportive and based on a few selected drugs, namely, nonsteroidal anti-inflammatory drugs or corticosteroids. Surgery is reserved when the diagnosis is unclear, when malignancy is suspected or in the case of severe presentation such as mass effect, bowel obstruction, or ischemic changes.
MP is a rare inflammatory condition of the mesentery often asymptomatic but can cause nonspecific abdominal symptoms. Diagnosis relies on computed tomography imaging, with treatment mainly supportive, utilizing medications like nonsteroidal anti-inflammatory drugs or corticosteroids, while surgery is reserved for severe cases or diagnostic uncertainty.
MP causes abdominal pain, and it is mainly diagnosed with CT scan.
肠系膜脂膜炎（MP）是一种罕见的非肿瘤性特发性脂肪组织炎症，主要累及小肠系膜，其病因在很大程度上仍属推测。多项研究中，MP在女性和男性中的患病率差异各不相同。大多数情况下，MP无症状；然而，患者可能出现非特异性腹部症状，或可类似潜在的胃肠道和腹部疾病。通过计算机断层扫描提示诊断，如有必要通常通过手术活检确诊。治疗一般为支持性治疗，并基于少数几种选定药物，即非甾体抗炎药或皮质类固醇。当诊断不明确、怀疑恶性肿瘤或出现严重表现如肿块效应、肠梗阻或缺血性改变时，则需进行手术。
MP是一种罕见的肠系膜炎症性疾病，通常无症状，但可引起非特异性腹部症状。诊断依赖计算机断层扫描成像，治疗主要为支持性治疗，使用非甾体抗炎药或皮质类固醇等药物，而手术则用于严重病例或诊断不确定的情况。
MP可引起腹痛，主要通过CT扫描诊断。
