Streuli H K, Stamm B
Klinik für Allgemeine Chirurgie, Kantonsspital Aarau.
Helv Chir Acta. 1994 Dec;60(6):957-9.
Panniculitis mesenterialis is an illness of the mesenterium of the small intestine and is not familiar to all clinical physicians. The rare reports in the literature mostly describe a good outcome with a few cases ending lethal. Pathologists paying attention to detect panniculitis during postmortem examination report about an incidence of about 1%. This discrepancy may be based on the fact that only extended changes of the mesenterial fat tissue cause symptoms. The pathological base consists in extensive necrosis of fat tissue with fibrosis of the mesenterium. Aetiology is unknown, diagnosis is usually made during laparotomy. There is no specific treatment, prognosis is generally good.
肠系膜脂膜炎是一种小肠系膜疾病,并非所有临床医生都熟悉。文献中罕见的报道大多描述预后良好,仅有少数病例致死。病理学家在尸检时注意到检测肠系膜脂膜炎,报告发病率约为1%。这种差异可能基于这样一个事实,即只有肠系膜脂肪组织的广泛改变才会引起症状。病理基础是脂肪组织广泛坏死并伴有肠系膜纤维化。病因不明,通常在剖腹手术时做出诊断。没有特效治疗方法,一般预后良好。