Souphia Rabti, Sawssen Ben Marzouk, Wael Farjaoui, Mannai Mohamed Hedi, Bechir Khalifa Mohamed
General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.
General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.
Int J Surg Case Rep. 2025 Feb;127:111000. doi: 10.1016/j.ijscr.2025.111000. Epub 2025 Feb 1.
Mesenteric panniculitis is a rare, benign condition characterized by chronic inflammation and fibrosis of mesenteric adipose tissue (Hussein and Abdelwahed, 2015; Gögebakan et al., 2018 [1, 2]). While its etiology remains unclear in many cases, it has been associated with various conditions including abdominal surgery, trauma, and inflammatory diseases (Buragina et al., 2019 [3]). Understanding its presentation and management is crucial for proper patient care.
We present a case of mesenteric panniculitis in a 49-year-old woman who presented with significant weight loss. The diagnosis was confirmed through imaging studies and tissue biopsy, with successful symptomatic management through conservative treatment.
The condition typically presents with nonspecific symptoms including abdominal pain, nausea, and weight loss, though it may be discovered incidentally. Diagnosis relies on a combination of imaging findings, particularly the characteristic "misty mesentery" appearance on CT scan, and when indicated, histological confirmation.
Early recognition and appropriate management of mesenteric panniculitis are essential for optimal outcomes. While usually benign, the condition requires thorough evaluation to exclude underlying malignancy and careful monitoring to prevent complications.
肠系膜脂膜炎是一种罕见的良性疾病，其特征为肠系膜脂肪组织的慢性炎症和纤维化（侯赛因和阿卜杜勒瓦希德，2015年；戈盖巴坎等人，2018年[1,2]）。虽然在许多情况下其病因仍不明确，但它与多种疾病有关，包括腹部手术、创伤和炎症性疾病（布拉吉纳等人，2019年[3]）。了解其临床表现和治疗方法对于正确的患者护理至关重要。
我们报告一例49岁女性肠系膜脂膜炎患者，该患者出现显著体重减轻。通过影像学检查和组织活检确诊，经保守治疗成功缓解症状。
该疾病通常表现为非特异性症状，包括腹痛、恶心和体重减轻，尽管也可能偶然发现。诊断依赖于影像学检查结果的综合判断，特别是CT扫描上特征性的“模糊肠系膜”表现，必要时需组织学确诊。
早期识别和恰当处理肠系膜脂膜炎对于取得最佳治疗效果至关重要。虽然该疾病通常为良性，但需要进行全面评估以排除潜在恶性肿瘤，并进行密切监测以预防并发症。
