अग्न्याशय का जर्नल खुला एक्सेस

अमूर्त

Mesenteric Panniculitis Associated with Acute Pancreatitis

Fatima Belabbes, Reda cherkaoui, Leila Abdallaoui, Rajaa Lafhel, Jihane Habi, Anass Nadi, Hanane Delsa and Fedoua Rouibaa

Introduction Mesenteric Panniculitis (MP) is a rare condition which presents as abdominal pain. It is characterized by chronic non-specific inflammation of the adipose tissue of the mesentery of the small intestine and colon. The specific etiology of this disease is unknown .However, the association between acute pancreatitis and MP is rarely described in literature. Presentation of Case We present a case of a 62 year-old woman with severe abdominal pain of acute onset. The patient has no particular medical history a part from hypertension and cholecystectomy. A computed tomography (CT) scan revealed a diagnosis of MP associated with stage A Balthazar pancreatitis, and the patient rapidly responded to steroid treatment. Discussion MP has been known to present as an acute abdomen. However, an associated acute pancreatitis is hither to rarely reported in the literature. This case highlights the critical importance of early recognition in order to mitigate the possibility of poor outcomes. It is crucial for gastroenterologists to be aware of such etiologies of abdominal pain when evaluating patients who present with other wise typical symptoms presumptive of pancreatitis. Conclusion This case report underlines the importance of further research concerning the relationship between MP and acute pancreatitis. Our case emphasizes that MP may drastically improve under Corticotherapy (CT). In general, MP is a symptomatic, fortuitously discovered and therefore remains untreated.

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