Tytgat G N, Roozendaal K, Winter W, Esseveld M R
Gastroenterology. 1980 Aug;79(2):352-6.
A patient with retractile mesenteritis is discussed, who presented with a huge 15 X 15-cm inflammatory mass involving the root of the mesentery. Gradually the patient developed duodenal obstruction for which it was necessary to perform a gastroileostomy. Because of a relentless downhill course with fever, weight loss, general malaise, and fatigue, it was finally decided to treat the patient with prednisone and azathioprine. Upon institution of this treatment there was a steady, progressive clinical amelioration with disappearance of fever, improvement in laboratory findings, and gradual regression of the lesion until it became a well-delineated hard mass that was thought to be the end stage of fibrosis. Early trial with such a treatment, once the diagnosis is firmly established, should be considered.
讨论了一名患有回缩性肠系膜炎的患者，该患者出现了一个巨大的15×15厘米的炎性肿块，累及肠系膜根部。患者逐渐出现十二指肠梗阻，因此有必要进行胃回肠吻合术。由于病情持续恶化，伴有发热、体重减轻、全身不适和疲劳，最终决定用泼尼松和硫唑嘌呤治疗该患者。开始这种治疗后，临床症状稳步、逐渐改善，发热消失，实验室检查结果改善，病变逐渐消退，直至成为一个边界清晰的硬块，被认为是纤维化的终末期。一旦确诊，应考虑尽早试用这种治疗方法。
