An Uncommon Cause of Abdominal Pain: Mesenteric Panniculitis

Serrano Gomez Yaritza^1, , Zonouzi-Zadeh Farideh¹ and Guevara Sara¹

¹Department of Family Medicine, Northwell Health Glen Cove Hospital, Glen Cove, USA

Cite this paper

Serrano Gomez Yaritza, Zonouzi-Zadeh Farideh and Guevara Sara. An Uncommon Cause of Abdominal Pain: Mesenteric Panniculitis. American Journal of Medical Case Reports. 2022; 10(5):138-139. doi: 10.12691/AJMCR-10-5-5

Abstract

Mesenteric panniculitis is a rare, benign, and chronic fibrosing inflammatory disease affecting the adipose tissue of the mesentery that can lead to intractable abdominal pain. We report a case of a 74-year-old male with multiple autoimmune disorders, including paroxysmal nocturnal hemoglobinuria (PNH) and hypothyroidism, that presented to the emergency department with abdominal pain for over three weeks. Abdominal CT showed diffuse stranding of the mesenteric fat compatible with mesenteric panniculitis. The patient received treatment with steroids, which led to resolution of his abdominal pain.

Keywords

mesenteric panniculitis, intractable abdominal pain, corticosteroids, paroxysmal nocturnal hemoglobinuria

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Silen, W., & Cope, Z. (2010). Cope's early diagnosis of the acute abdomen (22nd ed.). New York: Oxford University Press.
[2]	Penner, R.,Fishman, M.(2022). Causes of abdominal pain in adults. Uptodate. Retrieved March 16, 2022, from https://www.uptodate.com/contents/causes-of-abdominal-pain-in-adults.
[3]	Mardi K, Wahal SP. Mesenteric panniculitis: A rare entity, report of two cases with review of the literature. Arch Med Health Sci 2016; 4:264-6.
[4]	Ehrenpreis, E. Mesenteric Panniculitis.NORD National Organization for Rare Disease. Retrieved on 11/23/21, from https://rarediseases.org/rare-diseases/mesenteric-panniculitis/.
[5]	Sivrioglu, A. K., Saglam, M., Deveer, M., & Sonmez, G. (2013). Another reason for abdominal pain: mesenteric panniculitis. BMJ case reports, 2013, bcr2013009305.
[6]	Kaya, C., Bozkurt, E., Yazıcı, P., İdiz, U. O., Tanal, M., & Mihmanlı, M. (2018). Approach to the diagnosis and treatment of mesenteric panniculitis from the surgical point of view. Turkish journal of surgery, 34(2), 121-124.
[7]	Ramus, J., & McPherson, G. A. (2003). Recurrent bowel infarction in paroxysmal nocturnal haemoglobinuria. Journal of the Royal Society of Medicine, 96(8), 406-407.