A Case of Mesenteric Panniculitis with the Onset of Acute Peritonitis

Sumiyuki Sone, Hitoshi Kotanagi, Taiji Seto*

First Department of Surgery, Akita University School of Medicine
*Department of Surgery, Meiwa-kai Nakadohri Hospital

A case of mesenteric panniculitis is presented. Mesenteric panniculitis is an uncommon inflammatory disease. An 11-year-old boy was referred to our hospital because of abdominal pain and muscular defense in the whole abdomen. His white blood cell count was 17,000/mm³. After examination by abdominal ultrasonography, he was operated on for acute abdmen. Laparotomy revealed suppurative ascites and cystic lesions in the transverse mesentery. Some cysts were infected. Tumor resection and drainage were performed. The histopathological diagnosis was mesenteic panniculitis. Acute onset and cystic lesions in mesenteic panniculitis have not been reported previously. This case shows an acute presentation of mesenteric panniculitis.

Key words
mesenteric panniculitis, cystic lesion of the transverse mesocolon

Reprint requests
Sumiyuki Sone First Department of Surgery, Akita University School of Medicine
1-1-1 Hondo, Akita, 010 JAPAN

Accepted
April 11, 1990

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