Extensive Sclerosing Mesenteritis of the Rectosigmoid Colon Associated with Erosive Colitis
Sclerosing mesenteritis is a rare, idiopatic, usually benign, inflammatory process of the mesenteric adipose tissue. The most common site of involvement is the small bowel mesentery. We present a case of sclerosing mesenteritis of the rectosigmoid colon as a cause of severe abdominal pain, abdominal...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2009/176793 |
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| author | C. Nobili L. Degrate R. Caprotti C. Franciosi B. E. Leone F. Romano M. Dinelli Fr. Uggeri |
| author_facet | C. Nobili L. Degrate R. Caprotti C. Franciosi B. E. Leone F. Romano M. Dinelli Fr. Uggeri |
| author_sort | C. Nobili |
| collection | DOAJ |
| description | Sclerosing mesenteritis is a rare, idiopatic, usually benign, inflammatory process of the mesenteric adipose tissue. The most common site of involvement is the small bowel mesentery. We present a case of sclerosing mesenteritis of the rectosigmoid colon as a cause of severe abdominal pain, abdominal obstruction, and ischemic colic mucosal lesions. Contrast enema, colonoscopy, angiography, and CT were the imaging modalities used. A 20 cm diameter, fibrotic mass causing extensive compression of rectosigmoid colon was found at laparotomy. Histological examination showed extended fibrosis, inflammatory cells infiltration, lipophages, and granulomas within the mesenteric adipose tissue associated with erosive colitis. Clinical presentation and treatment are discussed. |
| format | Article |
| id | doaj-art-311619d6f2d148ee97cf8df362c15f51 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-311619d6f2d148ee97cf8df362c15f512025-02-03T01:20:56ZengWileyGastroenterology Research and Practice1687-61211687-630X2009-01-01200910.1155/2009/176793176793Extensive Sclerosing Mesenteritis of the Rectosigmoid Colon Associated with Erosive ColitisC. Nobili0L. Degrate1R. Caprotti2C. Franciosi3B. E. Leone4F. Romano5M. Dinelli6Fr. Uggeri7Department of Surgery, San Gerardo Hospital, University of Milano-Bicocca, via Pergolesi 33, 20052 Monza, Milano, ItalyDepartment of Surgery, San Gerardo Hospital, University of Milano-Bicocca, via Pergolesi 33, 20052 Monza, Milano, ItalyDepartment of Surgery, San Gerardo Hospital, University of Milano-Bicocca, via Pergolesi 33, 20052 Monza, Milano, ItalyDepartment of Surgery, San Gerardo Hospital, University of Milano-Bicocca, via Pergolesi 33, 20052 Monza, Milano, ItalyDepartment of Clinical Pathology, San Gerardo Hospital, University of Milano-Bicocca, via Pergolesi 33, 20052 Monza, Milano, ItalyDepartment of Surgery, San Gerardo Hospital, University of Milano-Bicocca, via Pergolesi 33, 20052 Monza, Milano, ItalyUnit of Endoscopy, San Gerardo Hospital, University of Milano-Bicocca, via Pergolesi 33, 20052 Monza, Milano, ItalyDepartment of Surgery, San Gerardo Hospital, University of Milano-Bicocca, via Pergolesi 33, 20052 Monza, Milano, ItalySclerosing mesenteritis is a rare, idiopatic, usually benign, inflammatory process of the mesenteric adipose tissue. The most common site of involvement is the small bowel mesentery. We present a case of sclerosing mesenteritis of the rectosigmoid colon as a cause of severe abdominal pain, abdominal obstruction, and ischemic colic mucosal lesions. Contrast enema, colonoscopy, angiography, and CT were the imaging modalities used. A 20 cm diameter, fibrotic mass causing extensive compression of rectosigmoid colon was found at laparotomy. Histological examination showed extended fibrosis, inflammatory cells infiltration, lipophages, and granulomas within the mesenteric adipose tissue associated with erosive colitis. Clinical presentation and treatment are discussed.http://dx.doi.org/10.1155/2009/176793 |
| spellingShingle | C. Nobili L. Degrate R. Caprotti C. Franciosi B. E. Leone F. Romano M. Dinelli Fr. Uggeri Extensive Sclerosing Mesenteritis of the Rectosigmoid Colon Associated with Erosive Colitis Gastroenterology Research and Practice |
| title | Extensive Sclerosing Mesenteritis of the Rectosigmoid Colon Associated with Erosive Colitis |
| title_full | Extensive Sclerosing Mesenteritis of the Rectosigmoid Colon Associated with Erosive Colitis |
| title_fullStr | Extensive Sclerosing Mesenteritis of the Rectosigmoid Colon Associated with Erosive Colitis |
| title_full_unstemmed | Extensive Sclerosing Mesenteritis of the Rectosigmoid Colon Associated with Erosive Colitis |
| title_short | Extensive Sclerosing Mesenteritis of the Rectosigmoid Colon Associated with Erosive Colitis |
| title_sort | extensive sclerosing mesenteritis of the rectosigmoid colon associated with erosive colitis |
| url | http://dx.doi.org/10.1155/2009/176793 |
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