关键词: Computed tomography Mesenteric panniculitis Mesentery

来  源:   DOI:10.1159/000539432   PDF(Pubmed)

Abstract:
UNASSIGNED: Mesenteric panniculitis (MP) is an uncommon non-neoplastic idiopathic inflammation of adipose tissue, mainly affecting the mesentery of the small intestine, with its etiology remaining largely speculative. The difference in prevalence of MP among females and males varies across multiple studies. In most cases, MP is asymptomatic; however, patients can present with nonspecific abdominal symptoms or can mimic underlying gastrointestinal and abdominal diseases. The diagnosis is suggested by computed tomography and is usually confirmed by surgical biopsies if necessary. Treatment is generally supportive and based on a few selected drugs, namely, nonsteroidal anti-inflammatory drugs or corticosteroids. Surgery is reserved when the diagnosis is unclear, when malignancy is suspected or in the case of severe presentation such as mass effect, bowel obstruction, or ischemic changes.
UNASSIGNED: MP is a rare inflammatory condition of the mesentery often asymptomatic but can cause nonspecific abdominal symptoms. Diagnosis relies on computed tomography imaging, with treatment mainly supportive, utilizing medications like nonsteroidal anti-inflammatory drugs or corticosteroids, while surgery is reserved for severe cases or diagnostic uncertainty.
UNASSIGNED: MP causes abdominal pain, and it is mainly diagnosed with CT scan.
摘要:
肠系膜脂膜炎(MP)是一种罕见的脂肪组织非肿瘤性特发性炎症,主要影响小肠的肠系膜,其病因在很大程度上仍然是推测性的。女性和男性中MP患病率的差异在多项研究中有所不同。在大多数情况下,MP是无症状的;然而,患者可出现非特异性腹部症状,或可模仿潜在的胃肠道和腹部疾病。诊断由计算机断层扫描提示,必要时通常通过手术活检证实。治疗通常是支持性的,并基于一些选定的药物,即,非甾体抗炎药或皮质类固醇。当诊断不明确时,保留手术,当怀疑恶性肿瘤或严重表现如肿块效应时,肠梗阻,或缺血性改变。
MP是一种罕见的肠系膜炎症性疾病,通常无症状,但可引起非特异性腹部症状。诊断依赖于计算机断层扫描成像,治疗主要是支持性的,使用非甾体抗炎药或皮质类固醇等药物,而手术保留用于严重病例或诊断不确定性。
MP引起腹痛,主要通过CT扫描诊断。
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