The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2006;71(3):934-939.
증례 : 내과적 치료로 치유된 장간막 지방층염 2예
리룡일&#;조영관&#;이재학&#;이석호&#;정일권&#;박상흠&#;김선주, , , , , ,
Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea
Two cases of mesenteric Panniculitis treated by medical management
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이화여자대학교 의과대학 내과학교실


Abstract
Mesenteric panniculitis is a gross and pathologic inflammatory change of the mesenteric fat tissue with an uncertain cause, and this is not a common disease. It is characterized by non-specific inflammation of the mesenteric adipose tissue with fever, abdominal pain and a palpable mass in about half of the cases. The specific etiology of this disease is unknown. Autoimmune responses to unknown insults, trauma, infections and past surgical conditions have been proposed as pathogenic mechanisms. Several current reports have suggested that abdominal computerized tomography (CT) has high specificity for the diagnosis, and there is a favorable prognosis without surgical treatment. We present here 2 cases of mesenteric panniculits; one was a 73 year-old man with intestinal obstruction and the other was a 66 year-old female with lower abdominal pain. They were diagnosed by abdominal CT and successfully treated by medical management.(Korean J Med 71:S934-S939, 2006)

Keywords :Mesenteric panniculitis, Medical treatment, Computerized tomography (CT)
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