Sans M, Varas M, Anglada A, Esperanza Bachs M, Navarro S, Brugués J
Service of Gastroenterology, Hospital Clínic i Provincial, Barcelona, Spain.
Am J Gastroenterol. 1995 Jul;90(7):1159-61.
A 40-yr-old man was admitted for fever of unknown origin. Mesenteric panniculitis was suspected as a result of ultrasonography, computed tomography, and nuclear magnetic resonance findings, and that diagnosis was confirmed by laparoscopy with retroperitoneal mass biopsy. Mesenteric panniculitis is a rare disease characterized by an inflammatory process of the mesenteric adipose tissue. Abdominal pain, weight loss, and abdominal mass are the most frequent symptoms. High fever and leukocytosis are uncommon. To the best of our knowledge, only two reports of mesenteric panniculitis presenting as fever of unknown origin have been described previously, with no cases published in the English literature. In the case reported, steroid therapy was started with initial improvement. Despite the temporary addition of azathioprine and the maintenance of the prednisone treatment, no further improvement has been achieved. Two years and 5 months after admission, the patient presents intermittent episodes of fever and muscle pain.
一名40岁男性因不明原因发热入院。超声、计算机断层扫描和核磁共振检查结果怀疑为肠系膜脂膜炎，腹腔镜检查及腹膜后肿块活检证实了该诊断。肠系膜脂膜炎是一种罕见疾病，其特征为肠系膜脂肪组织的炎症过程。腹痛、体重减轻和腹部肿块是最常见的症状。高热和白细胞增多并不常见。据我们所知，此前仅有两篇关于以不明原因发热为表现的肠系膜脂膜炎的报道，英文文献中尚无病例发表。在本报道的病例中，开始使用类固醇治疗后症状初步改善。尽管临时加用了硫唑嘌呤并维持泼尼松治疗，但未取得进一步改善。入院两年零五个月后，患者出现间歇性发热和肌肉疼痛。
