Treatment options for spontaneous and postoperative sclerosing mesenteritis.
Publisher DOI
PubMed ID
27933138
Abstract
Sclerosing mesenteritis is a rare pathology with only a few described cases in the literature. The etiology is unclear; however, several potential triggers, including abdominal surgery and abdominal trauma, have been discussed. The pathology includes a benign acute or chronic inflammatory process affecting the adipose tissue of the mesenterium. Despite it being a rare disease, sclerosing mesenteritis is an important differential diagnosis in patients after abdominal surgery or patients presenting spontaneously with signs of acute inflammation and abdominal pain. We present here three cases with sclerosing mesenteritis. In two cases, sclerosing mesenteritis occurred postoperatively after abdominal surgery. One patient was treated because of abdominal pain and specific radiological signs revealing spontaneous manifestation of sclerosing mesenteritis. So far there are no distinct treatment algorithms, so the patients were treated differently, including steroids, antibiotics and watchful waiting. In addition, we reviewed the current literature on treatment options for this rare disease.
Date Issued
2016-11-27
Publication Type
Article
Subject(s)
Subjects
Abdominal pain
•
Immunosuppression
•
Inflammation
•
Sclerosing mesenteritis
•
Surgery
Language(s)
en
Author(s)
Klasen, Jennifer | |
Güller, Ulrich | |
Muff, Brigitte | |
Fahrner, René |
Journal
World journal of gastrointestinal surgery
Publisher
Baishideng Publishing Group
ISSN
1948-9366
Access(Rights)
open.access