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Retractile Mesenteritis


Presentation

  • The majority of patients present with abdominal pain and/or a palpable mass. In the present report, a 68-year-old man with peripheral edema and mild hypoalbuminemia is presented.[ncbi.nlm.nih.gov]
  • The disease usually presents with abdominal pain or a palpable abdominal mass. In the majority of cases, the disease is self-limiting and the prognosis is favorable.[ncbi.nlm.nih.gov]
  • This report describes a 62-year old man with histologically proven retractile mesenteritis presenting with malabsorbtion syndrome, who presented pulmonary tuberculosis after initial therapy with corticosteroids.[ncbi.nlm.nih.gov]
  • We report a case of primary retractile mesenteritis presenting as acute abdominal pain requiring surgery in a 3-year-old boy.[ncbi.nlm.nih.gov]
  • The radiographic presentations were similar and should serve to remind radiologists and clinicians of this entity.[ncbi.nlm.nih.gov]
Leg Edema
  • DISCUSSION The 68-year-old man who presented with chronic leg edema and altered bowel habit was subsequently diagnosed with PLGE and retractile mesenteritis.[ncbi.nlm.nih.gov]
Precocious Puberty
  • Puberty 148 XLMRHypotonic Facies Syndrome 27 Pseudohypoparathyroidism 149[books.google.com]
Abdominal Pain
  • We report a case of primary retractile mesenteritis presenting as acute abdominal pain requiring surgery in a 3-year-old boy.[ncbi.nlm.nih.gov]
  • The disease usually presents with abdominal pain or a palpable abdominal mass. In the majority of cases, the disease is self-limiting and the prognosis is favorable.[ncbi.nlm.nih.gov]
  • A 58-year-old woman who presented with acute abdominal pain and vomiting underwent laparotomy for a small bowel obstruction of unknown etiology.[ncbi.nlm.nih.gov]
  • The majority of patients present with abdominal pain and/or a palpable mass. In the present report, a 68-year-old man with peripheral edema and mild hypoalbuminemia is presented.[ncbi.nlm.nih.gov]
  • The majority of lesions (61.5%) were located in the rectosigmoid colon, with abdominal pain, an abdominal mass, constipation, and fever being the most common symptoms.[ncbi.nlm.nih.gov]
Nausea
  • In this paper we describe a patient who presented with a 7 x 8 cm mass in the left upper abdomen, nausea and pain in the lower back. Symptomatic treatment was given with good result.[ncbi.nlm.nih.gov]
  • […] abdominal trauma Autoimmune disease Clinical Findings Symptoms, when present can be chronic Three stages Degeneration of fat (mesenteric lipodystrophy) Frequently asymptomatic Inflammation (mesenteric panniculitis) Poorly defined mass Abdominal pain Nausea[learningradiology.com]
  • Fever, nausea, vomiting, diarrhea, anorexia, weight loss, fatigue and constipation are some of the other associated clinical symptoms.[ncbi.nlm.nih.gov]
Regurgitation
  • His ejection fraction was 70% on the echocardiogram, with mild mitral valve and tricuspid valve regurgitations. A duplex ultrasound study ruled out the presence of deep vein thrombosis.[ncbi.nlm.nih.gov]
Abdominal Distension
  • To the Editor, Case study: An 88-year-old, black man was referred to a gastroenterologist for evaluation of massive ascites causing severe abdominal distension, nausea, vomiting, bloating, and weight gain (26 lb in 9 months).[medscape.com]
  • distension caused by paralytic ileus which installs slowly and aggravates itself continuously; partial or complete ceasement or urine emission, with a slow, passive flow of urine in the peritoneum; peritoneal irritation signs on rectal exam; The diagnosis[ncbi.nlm.nih.gov]
  • Abdominal distension from chylous ascites has also been described. A thorough examination to rule out peripheral lymphadenopathy or other signs of neoplasm is necessary in all patients.[rarediseases.org]
  • Patients primarily present with abdominal pain, although patients may also present with other nonspecific symptoms such as fever, nausea, vomiting, diarrhea, constipation, abdominal distension, and weight loss [ 10, 11 ].[raredisorders.imedpub.com]
Neglect
  • Albert-Ludwigs-University, Center for Infectious Diseases & Travel Medicine, and IFB-Center for Chronic Immunodeficiency, University Hospital, Freiburg i.Br. 3 Ortenauklinikum Achern, Medizinische Klinik, Achern Background: Abdominal mesenteritis is an neglected[thieme-connect.com]
  • : حل بسيط لمشكلة دائمة الحدوث اللجان العلمية الدائمة - التقدم لوظائف الاساتذة - الجراحة العامة - الدورة العاشرة ( 2008-2011) - كلية الطب جامعة القاهرة 1/10/2009 1- research :- Cutaneous Haemangiomas of Infancy: Is there Still a Place for the Benign Neglect[nazemshams.com]

Workup

  • Meanwhile, because of the association with malignancies, previous surgery or autoimmune disorders, this finding requires to take a careful medical history and to exclude an underlying disorder including laboratory workup (ANA, protein electrophoresis,[onlinelibrary.wiley.com]
  • Workup revealed thrombocytopenia with platelet count of 79,000. Her platelets dropped to as low as 30,000 and rose to 179,000 on treatment with prednisone.[ispub.com]
  • Before his extensive GI tract workup, he had undergone investigations to exclude cardiac, renal and liver disease. In addition, mucosal disease of the GI tract had been excluded.[ncbi.nlm.nih.gov]
Elevated Sedimentation Rate
  • The duration of symptoms varies from 24 hours to two years.3-10 In most cases, the blood chemistry and urinalysis were reported to be normal, although an elevated sedimentation rate has been reported in a minority.3,11 Diagnosis usually depends on imaging[the-hospitalist.org]

Treatment

  • Early trial with such a treatment, once the diagnosis is firmly established, should be considered.[ncbi.nlm.nih.gov]
  • Symptomatic treatment was given with good result. The literature on different therapeutic intervention is briefly discussed.[ncbi.nlm.nih.gov]
  • Conservative treatment is empirical, based on corticosteroids, colchicine, immunosuppressive agents and progesterone. Surgical resection is sometimes attempted for definitive therapy, although the surgical approach is often limited.[ncbi.nlm.nih.gov]
  • TY - JOUR T1 - Successful treatment of retractile mesenteritis with oral progesterone.[unboundmedicine.com]
  • Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances.[books.google.com]

Prognosis

  • In the majority of cases, the disease is self-limiting and the prognosis is favorable. In this paper we describe a patient who presented with a 7 x 8 cm mass in the left upper abdomen, nausea and pain in the lower back.[ncbi.nlm.nih.gov]
  • Lymphoma Desmoid tumor Carcinoid Treatment Benign condition usually requiring no or minimal treatment Steroids have been used Rarely recurs Complications Mesenteric panniculitis is rarely documented to progress to fibrosis (retractile mesenteritis) Prognosis[learningradiology.com]
  • Prognosis Abscess The prognosis has improved considerably with the advent of drainage under CT scanning. Deaths are generally due to the underlying disease process or unsuspected foci of infection.[patient.info]
  • […] remains unknown although: a history of abdominal trauma or surgery is often present tobacco use appears to be a risk factor it is usually found on CT abdo scan for upper abdominal pain - usually RUQ pain or for fullness or mass in the abdomen. overall, prognosis[ozemedicine.com]

Etiology

  • A 58-year-old woman who presented with acute abdominal pain and vomiting underwent laparotomy for a small bowel obstruction of unknown etiology.[ncbi.nlm.nih.gov]
  • A 47-year-old man presented with incomplete obstruction of the small bowel of obscure etiology.[ncbi.nlm.nih.gov]
  • Abstract Retractile mesenteritis is a rare inflammatory mesenteric disorder with unknown etiology. We reported a resected case of mass-forming retractile mesenteritis. A 64-year-old man noticed a mass with mild tender in the right lower abdomen.[jstage.jst.go.jp]
  • […] mesenteritis is discussed with particular attention to myofibroblastic disorders such as inflammatory pseudotumors, desmoids, retroperitoneal fibrosis, and other uncommon conditions that appear to be morphologically or clinically distinguishable although the etiology[insights.ovid.com]

Epidemiology

  • Epidemiology. 2013; 24 (6):854–862. doi: 10.1097/ede.0b013e31829e110e. [ PubMed ] [ CrossRef ] [ Google Scholar ] 196. Bjartling C., Persson K. Chlamydia and genital mycoplasma: epidemiology and risks.[ncbi.nlm.nih.gov]
  • Epidemiology The incidence depends on the cause. In a hospital setting the prevalence of SBP is around 10%. [ 3 ] Three studies of patients with perforated appendicitis found an incidence of postoperative abscess formation of 20%.[patient.info]
  • This review summarizes epidemiology, pathophysiology, evidence-based therapeutic recommendations and currently investigated drugs for pruritus in hepatobiliary disorders.[allmedx.com]
  • The epidemiology of sclerosing mesenteritis is unknown.[revistagastroenterologiamexico.org]
Sex distribution
Age distribution

Pathophysiology

  • In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. . Accessed Aug. 31, 2016. U.S. News best hospitals 2016-2017. U.S. News & World Report. .[mayoclinic.org]
  • Sclerosing or retractile mesenteritis is an uncommon, idiopathic, nonneoplastic, tumor-like lesion that thickens and shortens the mesentery.1 The condition consists of a pathophysiological spectrum of disease, the classification of which is based on the[the-hospitalist.org]
  • The pathophysiology of SM is likewise unclear.[raredisorders.imedpub.com]
  • This review summarizes epidemiology, pathophysiology, evidence-based therapeutic recommendations and currently investigated drugs for pruritus in hepatobiliary disorders.[allmedx.com]
  • 3 It has been reported that the median age of diagnosis is 65 years, with most cases presenting during the sixth and seventh decades of life. 2,4 For unknown reasons, men are afflicted at at least twice the rate of women. 2,4 Causes The etiology and pathophysiology[consultant360.com]

Prevention

  • Continued Preventing Peritonitis For select people with cirrhosis and ascites, the doctor may prescribe antibiotics to prevent peritonitis.[webmd.com]
  • Prevention Often, peritonitis associated with peritoneal dialysis is caused by germs around the catheter.[mayoclinic.org]
  • The employment of perioperative systemic antibiotics; wound-protector devices; and lavage of the wound at the end of therapy do not reliably prevent this complication.[emedicine.com]
  • It is better to prevent a complication than to have to deal with a medical negligence lawsuit. Given this fact is very important that the diagnosis arrive on due time.[peritonitis-disease.com]

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