A Case of Mesenteric Panniculitis Associated with Ischemic Proctitis.

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  • 虚血性直腸炎を合併した腸間膜脂肪織炎の１例

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Abstract

A 74-year old man was admitted with a chief complaint of watery diarrhea. Barium enema examination demonstrated a segmental narrowing and saw-teeth-like appearance from the upper part of the rectum to the lower part of the sigmoid colon. Colonoscopy showed multiple small elevated lesions existing densely and annularly in the sigmoid colon, and shallow ulcers spreading annularly and irregularly in the rectum. Under the diagnosis of mesenteric panniculitis associated with ischemic proctitis, we treated him conservatively with total parenteral nutrition and antibiotics. One month later clinical symptoms disappeared and no recurrence has been observed. It is very rare that mesenteric panniculitis was complicated with ischemic proctitis, which would be precious to discuss the pathogenesis.

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