Conservative Management of Mesenteric Panniculitis in a Remote Island.

IF 0.6 Q4 SURGERY Case Reports in Surgery Pub Date : 2023-01-01 DOI:10.1155/2023/3335738
Paschalis Gavriilidis, Nicola De' Angelis
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Abstract

Introduction: Mesenteric panniculitis (MP) includes a spectrum of nonspecific fibroinflammatory disorders of unknown aetiology that affects mainly the root of the mesentery. Case Report. A 68-year-old man is incidentally diagnosed with MP during follow-up investigation for a fusiform coeliac artery aneurysm. Four years since the diagnosis, he is completely asymptomatic. After discussing with him and presenting the current evidence, he decided not to proceed with biopsy because the finding was incidental and he is asymptomatic. Moreover, tumour markers were within the normal range. He has been scheduled for annual follow-ups with computerized tomography (CT) scans and tumour markers.

Conclusions: MP is a rare chronic fibroinflammatory disease with contradictory evidence regarding its definition and management. Watchful follow-ups with CT scan and tumour markers are recommended for asymptomatic patients.

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偏远海岛肠系膜膜炎的保守治疗。
简介:肠系膜泛膜炎(MP)包括一系列病因不明的非特异性纤维炎性疾病,主要影响肠系膜的根部。病例报告。一名68岁男性在随访中被偶然诊断为梭状腹腔动脉瘤。诊断四年后,他完全没有症状。在与他讨论并提出目前的证据后,他决定不进行活检,因为该发现是偶然的,而且他没有症状。此外,肿瘤标志物在正常范围内。他计划每年进行计算机断层扫描(CT)和肿瘤标记的随访。结论:MP是一种罕见的慢性纤维炎症性疾病,其定义和治疗证据相互矛盾。对于无症状的患者,建议密切随访CT扫描和肿瘤标志物。
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发文量
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审稿时长
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