Bashir M S, Abbott C R
Department of Clinical Medicine, University of Leeds.
J Clin Pathol. 1993 Sep;46(9):872-4. doi: 10.1136/jcp.46.9.872.
Three cases of mesenteric lipodystrophy with a wide range of clinicopathological features are reported. Mesenteric lipodystrophy may present as an acute abdomen or with non-specific upper abdominal symptoms. Routine biochemical and haematological investigations are within normal limits. Histological examination shows lipid-filled macrophages in sheets and bands with focal cyst formation. Mesenteric lipodystrophy is a rare condition. A firm diagnosis can be reached only by histological examination and a number of conditions need to be considered in the differential diagnosis.
报告了3例具有广泛临床病理特征的肠系膜脂肪营养不良病例。肠系膜脂肪营养不良可能表现为急腹症或伴有非特异性上腹部症状。常规生化和血液学检查均在正常范围内。组织学检查显示成片和带状分布的充满脂质的巨噬细胞,并伴有局灶性囊肿形成。肠系膜脂肪营养不良是一种罕见疾病。只有通过组织学检查才能做出确切诊断,在鉴别诊断中需要考虑多种疾病。