Approach to the diagnosis and treatment of mesenteric panniculitis from the surgical point of view

Özet

Objective: To evaluate the diagnostic and treatment approaches for patients diagnosed with mesenteric panniculitisMaterial and Methods: We retrospectively reviewed all patients diagnosed with mesenteric panniculitis betweenJanuary 2010 and March 2016. We recorded the demographic features, clinical symptoms, laboratory values, radiologicalmethods, treatment approach, and outcomes of the patients.Results: We evaluated 22 patients (17 male and five female) with a mean age of 45.8±15.7 years. The mostfrequent complaint was abdominal pain. The patients’ histories included colon cancer (n=1), prostatic cancer(n=2), renal cell cancer (n=1), diabetes mellitus (n=4), and chronic obstructive pulmonary disease (n=1). Laboratoryvalues revealed elevated C-reactive protein levels in 14 patients (43%). Computed tomography wasperformed in all the patients. Only 10 patients were followed up in the surgical ward, the remaining 12 underwentoutpatient treatment. No complication associated with hospitalization or during outpatient follow-upperiod was observed.Conclusion: Mesenteric panniculitis can be successfully treated conservatively without surgical intervention. Clinicaldoubt is of great importance for diagnosis, and plausible underlying malignancy should be kept in mind.