急性汎発性腹膜炎にて発症した小腸のmesenteric panniculitisの1例

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  • A CASE REPORT OF MESENTERIC PANNICULITIS OF THE JEJUNUM DEVELOPING PANPERITONITIS

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Mesenteric panniculitis is infrequently encountered. It is nonspecific inflammatory process involving the adipose tissue of the mesentery. A 65-year-old man presented with a lower abdominal pain. Physical examination at admission showed a diffuse tenderness with Blumberg's sign entire the abdomen and a soft mass was palpated in the left upper quadrant. Echographic study and computerized tomography showed a low density area with a cystic component in the jejunal mesentery. Blood laboratory studies showed 15, 500/mm3 of leucocytes and 14.4mg/dl of CRP. An emergency operation was performed with an acute panperitonitis. The mesentery of the jejunal region was thickened, rubbery, and consisted of several pearly gray-to-pink masses building through the adherent serosa with a perforated cystic component. A part of the jejunum was resected with the inflammed mesentery. Pathologically the resected specimen was diagnosed as mesenteric panniculitis of the small bowel.

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