Mesenteric Panniculitis in a Thirteen-Year-Old Korean Boy Treated with Prednisolone: A Case Report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Pediatric mesenteric panniculitis is an extremely rare disease of unknown etiology characterized by chronic in-flammation, fat necrosis, and fibrosis in the mesenteric adipose tissue. A previously healthy 13-year-old boy was admitted because of right upper abdominal pain. An abdominal computed tomography scan revealed increased at-tenuation and enhancement in the left upper abdominal omental fat and anterior peritoneal wall thickening. A laparo-scopic biopsy showed mesenteric panniculitis with chronic inflammation, adiponecrosis, and septal fibrosis. Serological tests for autoimmune diseases, nested polymerase chain reaction for Mycobacterium tuberculosis, and special immunohistochemical stains for malignancy were all negative. Symptomatic improvement and improved abnormal findings were achieved after an 8-month treatment with prednisolone according to a follow-up abdominal computed tomography scan. Here, we report a case of pediatric mesenteric panniculitis treated with prednisolone.
Abstract
Pediatric mesenteric panniculitis is an extremely rare disease of unknown etiology characterized by chronic in-flammation, fat necrosis, and fibrosis in the mesenteric adipose tissue. A previously healthy 13-year-old boy was admitted because of right upper abdominal pain. An abdominal computed tomography scan revealed increased at-tenuation and enhancement in the left upper abdominal omental fat and anterior peritoneal wall thickening. A laparo-scopic biopsy showed mesenteric panniculitis with chronic inflammation, adiponecrosis, and septal fibrosis. Serological tests for autoimmune diseases, nested polymerase chain reaction for Mycobacterium tuberculosis, and special immunohistochemical stains for malignancy were all negative. Symptomatic improvement and improved abnormal findings were achieved after an 8-month treatment with prednisolone according to a follow-up abdominal computed tomography scan. Here, we report a case of pediatric mesenteric panniculitis treated with prednisolone.
참고문헌 (20)
- Cakmak O, "Mesenteric panniculitis mimicking acute abdomen in a 4-year-old child", Z Kinderchir, 41, pp.313~314 (1986)
- Hakgüder G, "A case of mesenteric panniculitis in a 4-year-old child", Pediatr Int, 42, pp.577~578 (2000)
- Davis CF, "Primary (retractile) mesenteritis in a child", J Pediatr Surg, 27, pp.1544~1545 (1992)
- Spark RB, "Retractile sclerosing mesenteritis. Case report", Clin Pediatr (Phila), 10, pp.119~122 (1971)
- Viswanathan V, "Idiopathic sclerosing mesenteritis in paediatrics: Report of a successfully treated case and a review of literature", Pediatr Rheumatol Online J, 8, pp.5~ (2010)
- Rumman N, "Mesenteric panniculitis in a child misdiagnosed as appendicular mass: a case report and review of literature", Springerplus, 3, pp.73~ (2014)
- Ferrari TC, "An unusual presentation of mesenteric panniculitis", Clinics (Sao Paulo), 63, pp.843~844 (2008)
- Ogden WW, "Mesenteric panniculitis: review of 27 cases", Ann Surg, 161, pp.864~875 (1965)
- Durst AL, "Mesenteric panniculitis: review of the leterature and presentation of cases", Surgery, 81, pp.203~211 (1977)
- Horton KM, "CT findings in sclerosing mesenteritis (panniculitis): spectrum of disease", Radiographics, 23, pp.1561~1567 (2003)
- Wat SY, "The CT appearances of sclerosing mesenteritis and associated diseases", Clin Radiol, 61, pp.652~658 (2006)
- Emory TS, "Sclerosing mesenteritis, mesenteric panniculitis and mesenteric lipodystrophy: a single entity", Am J Surg Pathol, 21, pp.392~398 (1997)
- Soergel KH, "Fatal mesenteric panniculitis", Gastroenterology, 51, pp.529~536 (1966)
- Akram S, "Sclerosing mesenteritis: clinical features, treatment, and outcome in ninety-two patients", Clin Gastroenterol Hepatol, 5, pp.589~596 (2007)
- Tedeschi CG, "Retractile mesenteritis", N Engl J Med, 266, pp.1035~1040 (1962)
- Tytgat GN, "Successful treatment of a patient with retractile mesenteritis with prednisone and azathioprine", Gastroenterology, 79, pp.352~356 (1980)
- Issa I, "Mesenteric panniculitis: various presentations and treatment regimens", World J Gastroenterol, 15, pp.3827~3830 (2009)
- Ginsburg PM, "A pilot study of thalidomide for patients with symptomatic mesenteric panniculitis", Aliment Pharmacol Ther, 16, pp.2115~2122 (2002)
- Parra-Davila E, "Mesenteric panniculitis: case report and literature review", Am Surg, 64, pp.768~771 (1998)
- Coulier B, "Mesenteric panniculitis. Part 2: prevalence and natural course: MDCT prospective study", JBRBTR, 94, pp.241~246 (2011)