A Case of Mesenteric Panniculitis on the Sigmoid Colon.

DOI Web Site 22 Citations 27 References Open Access
  • Fujihara T.
    First Department of Surgery, Osaka City University Medical School
  • Ikehara T.
    First Department of Surgery, Osaka City University Medical School
  • Kato Y.
    First Department of Surgery, Osaka City University Medical School
  • Nitta A.
    First Department of Surgery, Osaka City University Medical School
  • Maeda K.
    First Department of Surgery, Osaka City University Medical School
  • Yamamoto Y.
    First Department of Surgery, Osaka City University Medical School
  • Ohira M.
    First Department of Surgery, Osaka City University Medical School
  • Nagai Y.
    First Department of Surgery, Osaka City University Medical School
  • Nishiguchi Y.
    First Department of Surgery, Osaka City University Medical School
  • Okuno M.
    First Department of Surgery, Osaka City University Medical School
  • Sowa M.
    First Department of Surgery, Osaka City University Medical School

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Other Title
  • 腸間膜脂肪織炎の１例および本邦報告例４９例の文献的考察

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Mesenteric panniculitis is an unspecific inflammatory disease rarely induced in the mesenterium. A case of mesenteric panniculitis on the colon seen in a 73-year-old man is reported. He was admitted after suffering from lower abdominal pain, anorexia and diarrhea for 3-months.<BR>On physical examination, a mass was palpable in the lower abdomen. Barium enema revealed narrowing of the sigmoid colon with a serrated mucosal surface. Colonoscopy revealed mucosal edema from the rectum to the sigmoid colon, without erosion and tumor. Computed tomography showed inflammation of adipose tissue consisting of diffuse thickened mesentery and well-defined segments of the sigmoid colon. Preoperatively mesenteric panniculitis was diagnosed.<BR>At laparotomy, the lesion appeared as a marked thickening and firm mass of the mesocolon with a puckered surface and rubbery consistency involving appendices epiproi-cae, with multiple reddish-brown discolored foci. He underwent low anterior resection along with sigmoidectomy. Pathological findings were inflammatory involvement of round foamy macrophages, lymphocytes and giant cells in the fibroadipose tissue. The postope-tative course was uneventful.

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