Korean J Gastroenterol.  2012 Apr;59(4):317-320. 10.4166/kjg.2012.59.4.317.

Spontaneous Regression of Sclerosing Mesenteritis Presenting as a Huge Mass

• Lee HJ
• Kim JI
• Ahn JW
• Kim JH
• Cheung ME
• Park SH
• Kim JK
• Im S

• KMID: 1364837
• DOI: http://doi.org/10.4166/kjg.2012.59.4.317

Abstract

Sclerosing mesenteritis is a rare benign disease originated from the mesenteries. It can be related to autoimmune disease, vasculitis, ischemia, infection, trauma and operation, but most of cases are idiopathic. The overall prognosis of sclerosing mesenteritis is usually good with benign, course. However, no consensus of treatment has yet been established. We report a case of spontaneous partial regression of sclerosing mesenteritis presented as a huge mass and diagnosed by finding of contrast enhanced abdominal computed tomography and percutaneous ultrasonography guided needle biopsy.

Keyword

Panniculitis, peritoneal; Neoplasm regression, spontaneous

MeSH Terms

Biopsy, Fine-Needle
Diagnosis, Differential
Humans
Male
Mesentery
Middle Aged
Panniculitis, Peritoneal/*diagnosis/pathology/ultrasonography
Remission, Spontaneous
Tomography, X-Ray Computed

Figure

• 

  Fig. 1 Abdomen computed tomography image with intravenous contrast showed huge mass like lesion with congestion of the mesenteric vessel (arrows).

• 

  Fig. 2 Small bowel series showed the displacement of the small bowel due to mesenteric mass.

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  Fig. 3 Microscopic finding showed focal infiltration of chronic inflammatory cells and fibroblast (H&E, ×100).

• 

  Fig. 4 Follow up abdomen computed tomography performed 3 months later showed much regression of previously noted mass like lesion of the mesenteries.

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