Mesenteric panniculitis: therapeutic aspects in the light of a clinical case
Vol. 3 No. 2 (2022), Case presentation
Vol. 3 No. 2 (2022)

Mesenteric panniculitis: therapeutic aspects in the light of a clinical case

Case presentation
Published March 5, 2022
Alexandru GOREA
"Nicolae Anestiade" Department of Surgery no. 1; Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Mihaela STOICA
Department of Internal Medicine-Semiology, Nicolae Testemitanu State University of Medicine and Pharmacy, Republic of Moldova
Anatolie SCORPAN
Department of Internal Medicine-Semiology, Nicolae Testemitanu State University of Medicine and Pharmacy, Republic of Moldova
Oxana SARBU
Department of Internal Medicine-Semiology, Nicolae Testemitanu State University of Medicine and Pharmacy, Republic of Moldova
Valeriu ISTRATI
Department of Internal Medicine-Semiology, Nicolae Testemitanu State University of Medicine and Pharmacy, Republic of Moldova
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Keywords

mesenteric panniculitis
mesenteric sclerosis
corticosteroids

How to Cite

GOREA, A., STOICA, M., SCORPAN, A., SARBU, O. and ISTRATI, V. (2022) “Mesenteric panniculitis: therapeutic aspects in the light of a clinical case”, One Health & Risk Management , 3(2), pp. 32-36. Available at: https://journal.ohrm.bba.md/index.php/journal-ohrm-bba-md/article/view/312 (Accessed: 28June2025).
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Abstract

Introduction: Mesenteric panniculitis is a rare medical condition. Its incidence is between 0.16% - 3.4%. The small number of cases of PMN and the ignorance of its causes, pathogenesis and treatment significantly affect the prognosis of the disease.

Materials and methods: An analysis of the literature and the case of patient R, aged 47, who is admitted to IMSP, is presented.

Results: Accusations: peri-umbilical pain, marked physical asthenia and significant weight loss. In the left abdominal flank, a tumor of 9.0 x14.0 cm was palpated, soft as consistensy, elastic, sensitive to palpation, fixed to the deep planes. Clinical examination and abdominal CT examination led to the diagnosis of mesenteric panniculitis. Drug treatment with NSAIDs and corticosteroids had a favorable outcome, confirming the autoimmune etiology of PM.

Conclusions. Mesenteric panniculitis is a rare pathology and its diagnosis is difficult to establish. The drug treatment with NSAIDs and corticosteroids can lead to good and lasting clinical results.

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