保存的治療にて軽快したS状結腸間膜脂肪織炎の1例

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タイトル別名
  • SUCCESSFUL CONSERVATIVE TREATIVIENT IN A PATIENT WITH MESENTERIC PANNICULITIS OF THE SIGMOID COLON

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A case of mesenteric panniculitis of the sigmoid colon is described. A 61-year-old maie was admitted to our hospital complaining of left lower quadrant pain and palpable mass. Barium enema examination revealed a narrowing of the sigmoid colon and sawtooth-like appearance on the mesenteric side. Colonofiberscopy showed red and edematous mucosa, but the biopsy specimen revealed no remarkable findings. Abdominal CT scan revealed the enlarged fat-density mass surrounded by the colon wall. The diagnosis of mesenteric panniculitis was based upon these findings. We treated the patient successfully with broad-spectrum antibiotics instead of surgical procedures. A fallow-up barium enema study after 1 month showed marked improvement of the lesion. The patient is doing well without recurrence.

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