Mesenteric panniculitis with pedal edema in a 33-year-old Pakistani man: a case report and literature review
Introduction Mesenteric panniculitis is a rare pathology of unknown etiology characterized by inflammation and fibrosis in the mesentery. Its protean clinical and radiological manifestations make it a diagnostic challenge. There is no established treatment available for its management. The clinical...
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| Autor*in: |
Zafar, Abdul M [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2008 |
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| Schlagwörter: |
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| Anmerkung: |
© Zafar et al; licensee BioMed Central Ltd. 2008 |
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| Übergeordnetes Werk: |
Enthalten in: Journal of medical case reports - London : BioMed Central, 2007, 2(2008), 1 vom: 04. Dez. |
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| Übergeordnetes Werk: |
volume:2 ; year:2008 ; number:1 ; day:04 ; month:12 |
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| DOI / URN: |
10.1186/1752-1947-2-365 |
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SPR03102906X |
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| 520 | |a Introduction Mesenteric panniculitis is a rare pathology of unknown etiology characterized by inflammation and fibrosis in the mesentery. Its protean clinical and radiological manifestations make it a diagnostic challenge. There is no established treatment available for its management. The clinical outcome is inconsistent, with the prognosis ranging from complete resolution without any treatment to rapid progression culminating in death. Case presentation A 33-year-old Pakistani man presented with vague abdominal pain, an ill-defined epigastric mass and bilateral pedal edema. A detailed review of his history and laboratory investigations did not point to any diagnosis. The patient underwent an exploratory laparotomy based on the finding of mesenteric soft-tissue density on computed tomography. The laparotomy did not prove to be of any diagnostic or therapeutic value. Upon review of the pre-operative computed tomographic scan at our institution, a diagnosis of mesenteric panniculitis was made. An acceptable resolution of abdominal pain and pedal edema was attained after a 4-week trial of immunosuppressive therapy. This is the first reported case of mesenteric panniculitis with pedal edema as part of its presentation. Conclusion An increased awareness may lead to the development of a less invasive diagnostic approach and optimal treatment for this rarely recognized condition. | ||
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10.1186/1752-1947-2-365 doi (DE-627)SPR03102906X (SPR)1752-1947-2-365-e DE-627 ger DE-627 rakwb eng Zafar, Abdul M verfasserin aut Mesenteric panniculitis with pedal edema in a 33-year-old Pakistani man: a case report and literature review 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Zafar et al; licensee BioMed Central Ltd. 2008 Introduction Mesenteric panniculitis is a rare pathology of unknown etiology characterized by inflammation and fibrosis in the mesentery. Its protean clinical and radiological manifestations make it a diagnostic challenge. There is no established treatment available for its management. The clinical outcome is inconsistent, with the prognosis ranging from complete resolution without any treatment to rapid progression culminating in death. Case presentation A 33-year-old Pakistani man presented with vague abdominal pain, an ill-defined epigastric mass and bilateral pedal edema. A detailed review of his history and laboratory investigations did not point to any diagnosis. The patient underwent an exploratory laparotomy based on the finding of mesenteric soft-tissue density on computed tomography. The laparotomy did not prove to be of any diagnostic or therapeutic value. Upon review of the pre-operative computed tomographic scan at our institution, a diagnosis of mesenteric panniculitis was made. An acceptable resolution of abdominal pain and pedal edema was attained after a 4-week trial of immunosuppressive therapy. This is the first reported case of mesenteric panniculitis with pedal edema as part of its presentation. Conclusion An increased awareness may lead to the development of a less invasive diagnostic approach and optimal treatment for this rarely recognized condition. Liposarcoma (dpeaa)DE-He213 Lipodystrophy (dpeaa)DE-He213 Soft Tissue Density (dpeaa)DE-He213 Pedal Edema (dpeaa)DE-He213 Small Bowel Mesentery (dpeaa)DE-He213 Rauf, Muhamad A aut Chawla, Tabish aut Khanda, Gule aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 2(2008), 1 vom: 04. Dez. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:2 year:2008 number:1 day:04 month:12 https://dx.doi.org/10.1186/1752-1947-2-365 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2008 1 04 12 |
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10.1186/1752-1947-2-365 doi (DE-627)SPR03102906X (SPR)1752-1947-2-365-e DE-627 ger DE-627 rakwb eng Zafar, Abdul M verfasserin aut Mesenteric panniculitis with pedal edema in a 33-year-old Pakistani man: a case report and literature review 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Zafar et al; licensee BioMed Central Ltd. 2008 Introduction Mesenteric panniculitis is a rare pathology of unknown etiology characterized by inflammation and fibrosis in the mesentery. Its protean clinical and radiological manifestations make it a diagnostic challenge. There is no established treatment available for its management. The clinical outcome is inconsistent, with the prognosis ranging from complete resolution without any treatment to rapid progression culminating in death. Case presentation A 33-year-old Pakistani man presented with vague abdominal pain, an ill-defined epigastric mass and bilateral pedal edema. A detailed review of his history and laboratory investigations did not point to any diagnosis. The patient underwent an exploratory laparotomy based on the finding of mesenteric soft-tissue density on computed tomography. The laparotomy did not prove to be of any diagnostic or therapeutic value. Upon review of the pre-operative computed tomographic scan at our institution, a diagnosis of mesenteric panniculitis was made. An acceptable resolution of abdominal pain and pedal edema was attained after a 4-week trial of immunosuppressive therapy. This is the first reported case of mesenteric panniculitis with pedal edema as part of its presentation. Conclusion An increased awareness may lead to the development of a less invasive diagnostic approach and optimal treatment for this rarely recognized condition. Liposarcoma (dpeaa)DE-He213 Lipodystrophy (dpeaa)DE-He213 Soft Tissue Density (dpeaa)DE-He213 Pedal Edema (dpeaa)DE-He213 Small Bowel Mesentery (dpeaa)DE-He213 Rauf, Muhamad A aut Chawla, Tabish aut Khanda, Gule aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 2(2008), 1 vom: 04. Dez. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:2 year:2008 number:1 day:04 month:12 https://dx.doi.org/10.1186/1752-1947-2-365 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2008 1 04 12 |
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10.1186/1752-1947-2-365 doi (DE-627)SPR03102906X (SPR)1752-1947-2-365-e DE-627 ger DE-627 rakwb eng Zafar, Abdul M verfasserin aut Mesenteric panniculitis with pedal edema in a 33-year-old Pakistani man: a case report and literature review 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Zafar et al; licensee BioMed Central Ltd. 2008 Introduction Mesenteric panniculitis is a rare pathology of unknown etiology characterized by inflammation and fibrosis in the mesentery. Its protean clinical and radiological manifestations make it a diagnostic challenge. There is no established treatment available for its management. The clinical outcome is inconsistent, with the prognosis ranging from complete resolution without any treatment to rapid progression culminating in death. Case presentation A 33-year-old Pakistani man presented with vague abdominal pain, an ill-defined epigastric mass and bilateral pedal edema. A detailed review of his history and laboratory investigations did not point to any diagnosis. The patient underwent an exploratory laparotomy based on the finding of mesenteric soft-tissue density on computed tomography. The laparotomy did not prove to be of any diagnostic or therapeutic value. Upon review of the pre-operative computed tomographic scan at our institution, a diagnosis of mesenteric panniculitis was made. An acceptable resolution of abdominal pain and pedal edema was attained after a 4-week trial of immunosuppressive therapy. This is the first reported case of mesenteric panniculitis with pedal edema as part of its presentation. Conclusion An increased awareness may lead to the development of a less invasive diagnostic approach and optimal treatment for this rarely recognized condition. Liposarcoma (dpeaa)DE-He213 Lipodystrophy (dpeaa)DE-He213 Soft Tissue Density (dpeaa)DE-He213 Pedal Edema (dpeaa)DE-He213 Small Bowel Mesentery (dpeaa)DE-He213 Rauf, Muhamad A aut Chawla, Tabish aut Khanda, Gule aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 2(2008), 1 vom: 04. Dez. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:2 year:2008 number:1 day:04 month:12 https://dx.doi.org/10.1186/1752-1947-2-365 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2008 1 04 12 |
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10.1186/1752-1947-2-365 doi (DE-627)SPR03102906X (SPR)1752-1947-2-365-e DE-627 ger DE-627 rakwb eng Zafar, Abdul M verfasserin aut Mesenteric panniculitis with pedal edema in a 33-year-old Pakistani man: a case report and literature review 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Zafar et al; licensee BioMed Central Ltd. 2008 Introduction Mesenteric panniculitis is a rare pathology of unknown etiology characterized by inflammation and fibrosis in the mesentery. Its protean clinical and radiological manifestations make it a diagnostic challenge. There is no established treatment available for its management. The clinical outcome is inconsistent, with the prognosis ranging from complete resolution without any treatment to rapid progression culminating in death. Case presentation A 33-year-old Pakistani man presented with vague abdominal pain, an ill-defined epigastric mass and bilateral pedal edema. A detailed review of his history and laboratory investigations did not point to any diagnosis. The patient underwent an exploratory laparotomy based on the finding of mesenteric soft-tissue density on computed tomography. The laparotomy did not prove to be of any diagnostic or therapeutic value. Upon review of the pre-operative computed tomographic scan at our institution, a diagnosis of mesenteric panniculitis was made. An acceptable resolution of abdominal pain and pedal edema was attained after a 4-week trial of immunosuppressive therapy. This is the first reported case of mesenteric panniculitis with pedal edema as part of its presentation. Conclusion An increased awareness may lead to the development of a less invasive diagnostic approach and optimal treatment for this rarely recognized condition. Liposarcoma (dpeaa)DE-He213 Lipodystrophy (dpeaa)DE-He213 Soft Tissue Density (dpeaa)DE-He213 Pedal Edema (dpeaa)DE-He213 Small Bowel Mesentery (dpeaa)DE-He213 Rauf, Muhamad A aut Chawla, Tabish aut Khanda, Gule aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 2(2008), 1 vom: 04. Dez. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:2 year:2008 number:1 day:04 month:12 https://dx.doi.org/10.1186/1752-1947-2-365 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2008 1 04 12 |
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10.1186/1752-1947-2-365 doi (DE-627)SPR03102906X (SPR)1752-1947-2-365-e DE-627 ger DE-627 rakwb eng Zafar, Abdul M verfasserin aut Mesenteric panniculitis with pedal edema in a 33-year-old Pakistani man: a case report and literature review 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Zafar et al; licensee BioMed Central Ltd. 2008 Introduction Mesenteric panniculitis is a rare pathology of unknown etiology characterized by inflammation and fibrosis in the mesentery. Its protean clinical and radiological manifestations make it a diagnostic challenge. There is no established treatment available for its management. The clinical outcome is inconsistent, with the prognosis ranging from complete resolution without any treatment to rapid progression culminating in death. Case presentation A 33-year-old Pakistani man presented with vague abdominal pain, an ill-defined epigastric mass and bilateral pedal edema. A detailed review of his history and laboratory investigations did not point to any diagnosis. The patient underwent an exploratory laparotomy based on the finding of mesenteric soft-tissue density on computed tomography. The laparotomy did not prove to be of any diagnostic or therapeutic value. Upon review of the pre-operative computed tomographic scan at our institution, a diagnosis of mesenteric panniculitis was made. An acceptable resolution of abdominal pain and pedal edema was attained after a 4-week trial of immunosuppressive therapy. This is the first reported case of mesenteric panniculitis with pedal edema as part of its presentation. Conclusion An increased awareness may lead to the development of a less invasive diagnostic approach and optimal treatment for this rarely recognized condition. Liposarcoma (dpeaa)DE-He213 Lipodystrophy (dpeaa)DE-He213 Soft Tissue Density (dpeaa)DE-He213 Pedal Edema (dpeaa)DE-He213 Small Bowel Mesentery (dpeaa)DE-He213 Rauf, Muhamad A aut Chawla, Tabish aut Khanda, Gule aut Enthalten in Journal of medical case reports London : BioMed Central, 2007 2(2008), 1 vom: 04. Dez. (DE-627)524231389 (DE-600)2269805-X 1752-1947 nnns volume:2 year:2008 number:1 day:04 month:12 https://dx.doi.org/10.1186/1752-1947-2-365 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2008 1 04 12 |
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Its protean clinical and radiological manifestations make it a diagnostic challenge. There is no established treatment available for its management. The clinical outcome is inconsistent, with the prognosis ranging from complete resolution without any treatment to rapid progression culminating in death. Case presentation A 33-year-old Pakistani man presented with vague abdominal pain, an ill-defined epigastric mass and bilateral pedal edema. A detailed review of his history and laboratory investigations did not point to any diagnosis. The patient underwent an exploratory laparotomy based on the finding of mesenteric soft-tissue density on computed tomography. The laparotomy did not prove to be of any diagnostic or therapeutic value. Upon review of the pre-operative computed tomographic scan at our institution, a diagnosis of mesenteric panniculitis was made. An acceptable resolution of abdominal pain and pedal edema was attained after a 4-week trial of immunosuppressive therapy. 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mesenteric panniculitis with pedal edema in a 33-year-old pakistani man: a case report and literature review |
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Mesenteric panniculitis with pedal edema in a 33-year-old Pakistani man: a case report and literature review |
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Introduction Mesenteric panniculitis is a rare pathology of unknown etiology characterized by inflammation and fibrosis in the mesentery. Its protean clinical and radiological manifestations make it a diagnostic challenge. There is no established treatment available for its management. The clinical outcome is inconsistent, with the prognosis ranging from complete resolution without any treatment to rapid progression culminating in death. Case presentation A 33-year-old Pakistani man presented with vague abdominal pain, an ill-defined epigastric mass and bilateral pedal edema. A detailed review of his history and laboratory investigations did not point to any diagnosis. The patient underwent an exploratory laparotomy based on the finding of mesenteric soft-tissue density on computed tomography. The laparotomy did not prove to be of any diagnostic or therapeutic value. Upon review of the pre-operative computed tomographic scan at our institution, a diagnosis of mesenteric panniculitis was made. An acceptable resolution of abdominal pain and pedal edema was attained after a 4-week trial of immunosuppressive therapy. This is the first reported case of mesenteric panniculitis with pedal edema as part of its presentation. Conclusion An increased awareness may lead to the development of a less invasive diagnostic approach and optimal treatment for this rarely recognized condition. © Zafar et al; licensee BioMed Central Ltd. 2008 |
| abstractGer |
Introduction Mesenteric panniculitis is a rare pathology of unknown etiology characterized by inflammation and fibrosis in the mesentery. Its protean clinical and radiological manifestations make it a diagnostic challenge. There is no established treatment available for its management. The clinical outcome is inconsistent, with the prognosis ranging from complete resolution without any treatment to rapid progression culminating in death. Case presentation A 33-year-old Pakistani man presented with vague abdominal pain, an ill-defined epigastric mass and bilateral pedal edema. A detailed review of his history and laboratory investigations did not point to any diagnosis. The patient underwent an exploratory laparotomy based on the finding of mesenteric soft-tissue density on computed tomography. The laparotomy did not prove to be of any diagnostic or therapeutic value. Upon review of the pre-operative computed tomographic scan at our institution, a diagnosis of mesenteric panniculitis was made. An acceptable resolution of abdominal pain and pedal edema was attained after a 4-week trial of immunosuppressive therapy. This is the first reported case of mesenteric panniculitis with pedal edema as part of its presentation. Conclusion An increased awareness may lead to the development of a less invasive diagnostic approach and optimal treatment for this rarely recognized condition. © Zafar et al; licensee BioMed Central Ltd. 2008 |
| abstract_unstemmed |
Introduction Mesenteric panniculitis is a rare pathology of unknown etiology characterized by inflammation and fibrosis in the mesentery. Its protean clinical and radiological manifestations make it a diagnostic challenge. There is no established treatment available for its management. The clinical outcome is inconsistent, with the prognosis ranging from complete resolution without any treatment to rapid progression culminating in death. Case presentation A 33-year-old Pakistani man presented with vague abdominal pain, an ill-defined epigastric mass and bilateral pedal edema. A detailed review of his history and laboratory investigations did not point to any diagnosis. The patient underwent an exploratory laparotomy based on the finding of mesenteric soft-tissue density on computed tomography. The laparotomy did not prove to be of any diagnostic or therapeutic value. Upon review of the pre-operative computed tomographic scan at our institution, a diagnosis of mesenteric panniculitis was made. An acceptable resolution of abdominal pain and pedal edema was attained after a 4-week trial of immunosuppressive therapy. This is the first reported case of mesenteric panniculitis with pedal edema as part of its presentation. Conclusion An increased awareness may lead to the development of a less invasive diagnostic approach and optimal treatment for this rarely recognized condition. © Zafar et al; licensee BioMed Central Ltd. 2008 |
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