Treatment options for spontaneous and postoperative sclerosing mesenteritis.

Klasen, Jennifer; Güller, Ulrich; Muff, Brigitte; Candinas, Daniel; Seiler, Christian A.; Fahrner, René (2016). Treatment options for spontaneous and postoperative sclerosing mesenteritis. World journal of gastrointestinal surgery, 8(11), pp. 761-765. Baishideng Publishing Group 10.4240/wjgs.v8.i11.761

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Sclerosing mesenteritis is a rare pathology with only a few described cases in the literature. The etiology is unclear; however, several potential triggers, including abdominal surgery and abdominal trauma, have been discussed. The pathology includes a benign acute or chronic inflammatory process affecting the adipose tissue of the mesenterium. Despite it being a rare disease, sclerosing mesenteritis is an important differential diagnosis in patients after abdominal surgery or patients presenting spontaneously with signs of acute inflammation and abdominal pain. We present here three cases with sclerosing mesenteritis. In two cases, sclerosing mesenteritis occurred postoperatively after abdominal surgery. One patient was treated because of abdominal pain and specific radiological signs revealing spontaneous manifestation of sclerosing mesenteritis. So far there are no distinct treatment algorithms, so the patients were treated differently, including steroids, antibiotics and watchful waiting. In addition, we reviewed the current literature on treatment options for this rare disease.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Viszeralchirurgie
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Viszeralchirurgie

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine

UniBE Contributor:

Candinas, Daniel and Seiler, Christian A.

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1948-9366

Publisher:

Baishideng Publishing Group

Language:

English

Submitter:

Lilian Karin Smith-Wirth

Date Deposited:

29 Mar 2017 15:04

Last Modified:

29 Mar 2017 15:04

Publisher DOI:

10.4240/wjgs.v8.i11.761

PubMed ID:

27933138

Uncontrolled Keywords:

Abdominal pain; Immunosuppression; Inflammation; Sclerosing mesenteritis; Surgery

BORIS DOI:

10.7892/boris.93388

URI:

https://boris.unibe.ch/id/eprint/93388

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