E-ISSN 2367-699X | ISSN 2367-7414
 

Review Article 


MESENTERIC PANNICULITIS IN THE ELDERLY – UPDATE ON DIAGNOSTIC AND THERAPEUTIC APPROACH

Francisco Irochima Pinheiro, Amália Cinthia Menezes Rêgo, Irami Araújo-Filho.

Cited by (2)

Abstract
The Mesenteric Panniculitis (MP) is a rare, non-specific inflammatory condition, mainly affecting the benign intestinal mesentery. It knew that she is diagnosed primarily during the sixth and seventh decade of life and seems to be two times more common in men than in women. The etiology of SM remains unknown, although several mechanisms have been suggested contributors, including surgery or abdominal trauma before, autoimmunity, paraneoplastic syndrome, ischemic injury, and infections. The major signs and symptoms are abdominal pain, the presence of palpable abdominal mass, nausea and vomiting, bowel changes, weight loss, small bowel obstruction, chylous ascites and peritoneal irritation signals. About of 10% of the patients are asymptomatic. The radiological study, especially computed tomography (CT) and magnetic resonance imaging (MRI), are essential components of the diagnostic evaluation. The ''greasy'' ring signal and the pseudocapsule tomographic findings are considered specific tumoral this pathology. The histopathologic study establishes the diagnosis. There is no specific treatment for SM and should this be empirical and individualized. Although they are described cases of spontaneous remission, some authors have shown benefit with the empirical treatment using corticosteroids, colchicine, immunosuppressants, antibiotics, tamoxifen, alone or in combination. The surgical approach has a limited role and usually aimed at symptomatic relief. In most cases, the prognosis is favorable.

Key words: sclerosing mesenteritis; mesenteric panniculitis; retractile mesenteritis; systemic nodular panniculitis; liposclerotic mesenteritis; mesentery


 
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How to Cite this Article
Pubmed Style

Francisco Irochima Pinheiro, Amália Cinthia Menezes Rêgo, Irami Araújo-Filho. MESENTERIC PANNICULITIS IN THE ELDERLY – UPDATE ON DIAGNOSTIC AND THERAPEUTIC APPROACH. Int J Surg Med. 2016; 2(3): 127-133. doi:10.5455/ijsm.mesenteric-panniculit


Web Style

Francisco Irochima Pinheiro, Amália Cinthia Menezes Rêgo, Irami Araújo-Filho. MESENTERIC PANNICULITIS IN THE ELDERLY – UPDATE ON DIAGNOSTIC AND THERAPEUTIC APPROACH. http://www.ejos.org/?mno=224620 [Access: April 26, 2019]. doi:10.5455/ijsm.mesenteric-panniculit


AMA (American Medical Association) Style

Francisco Irochima Pinheiro, Amália Cinthia Menezes Rêgo, Irami Araújo-Filho. MESENTERIC PANNICULITIS IN THE ELDERLY – UPDATE ON DIAGNOSTIC AND THERAPEUTIC APPROACH. Int J Surg Med. 2016; 2(3): 127-133. doi:10.5455/ijsm.mesenteric-panniculit



Vancouver/ICMJE Style

Francisco Irochima Pinheiro, Amália Cinthia Menezes Rêgo, Irami Araújo-Filho. MESENTERIC PANNICULITIS IN THE ELDERLY – UPDATE ON DIAGNOSTIC AND THERAPEUTIC APPROACH. Int J Surg Med. (2016), [cited April 26, 2019]; 2(3): 127-133. doi:10.5455/ijsm.mesenteric-panniculit



Harvard Style

Francisco Irochima Pinheiro, Amália Cinthia Menezes Rêgo, Irami Araújo-Filho (2016) MESENTERIC PANNICULITIS IN THE ELDERLY – UPDATE ON DIAGNOSTIC AND THERAPEUTIC APPROACH. Int J Surg Med, 2 (3), 127-133. doi:10.5455/ijsm.mesenteric-panniculit



Turabian Style

Francisco Irochima Pinheiro, Amália Cinthia Menezes Rêgo, Irami Araújo-Filho. 2016. MESENTERIC PANNICULITIS IN THE ELDERLY – UPDATE ON DIAGNOSTIC AND THERAPEUTIC APPROACH. International Journal of Surgery and Medicine, 2 (3), 127-133. doi:10.5455/ijsm.mesenteric-panniculit



Chicago Style

Francisco Irochima Pinheiro, Amália Cinthia Menezes Rêgo, Irami Araújo-Filho. "MESENTERIC PANNICULITIS IN THE ELDERLY – UPDATE ON DIAGNOSTIC AND THERAPEUTIC APPROACH." International Journal of Surgery and Medicine 2 (2016), 127-133. doi:10.5455/ijsm.mesenteric-panniculit



MLA (The Modern Language Association) Style

Francisco Irochima Pinheiro, Amália Cinthia Menezes Rêgo, Irami Araújo-Filho. "MESENTERIC PANNICULITIS IN THE ELDERLY – UPDATE ON DIAGNOSTIC AND THERAPEUTIC APPROACH." International Journal of Surgery and Medicine 2.3 (2016), 127-133. Print. doi:10.5455/ijsm.mesenteric-panniculit



APA (American Psychological Association) Style

Francisco Irochima Pinheiro, Amália Cinthia Menezes Rêgo, Irami Araújo-Filho (2016) MESENTERIC PANNICULITIS IN THE ELDERLY – UPDATE ON DIAGNOSTIC AND THERAPEUTIC APPROACH. International Journal of Surgery and Medicine, 2 (3), 127-133. doi:10.5455/ijsm.mesenteric-panniculit