An Uncommon Cause of Abdominal Pain: Mesenteric Panniculitis

Serrano Gomez Yaritza^1, , Zonouzi-Zadeh Farideh¹ and Guevara Sara¹

¹Department of Family Medicine, Northwell Health Glen Cove Hospital, Glen Cove, USA

Cite this paper:
Serrano Gomez Yaritza, Zonouzi-Zadeh Farideh and Guevara Sara. An Uncommon Cause of Abdominal Pain: Mesenteric Panniculitis. American Journal of Medical Case Reports. 2022; 10(5):138-139. doi: 10.12691/ajmcr-10-5-5

Abstract

Mesenteric panniculitis is a rare, benign, and chronic fibrosing inflammatory disease affecting the adipose tissue of the mesentery that can lead to intractable abdominal pain. We report a case of a 74-year-old male with multiple autoimmune disorders, including paroxysmal nocturnal hemoglobinuria (PNH) and hypothyroidism, that presented to the emergency department with abdominal pain for over three weeks. Abdominal CT showed diffuse stranding of the mesenteric fat compatible with mesenteric panniculitis. The patient received treatment with steroids, which led to resolution of his abdominal pain.

Keywords:
mesenteric panniculitis intractable abdominal pain corticosteroids paroxysmal nocturnal hemoglobinuria

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