Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Case report
A case of sclerosing mesenteritis diagnosed on the basis of biopsy findings obtained during laparotomy and successfully treated with steroids
Satoshi FUKUDAYouichi MIYAOKAKousuke TSUKANOSayaka UENODaisuke IZUMISatoshi YAMANOUCHITomotaka YAZAKITakayuki SONOYAMASatoko ITOHirofumi FUJISHIRONaruaki KOHGETomonori IMAOKA
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2014 Volume 111 Issue 12 Pages 2303-2310

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Abstract

A 53-year-old female who complained of constipation and abdominal fullness was referred to our hospital. A tender low abdominal mass was palpable. Imaging (abdominal ultrasonography, CT, and MRI) revealed that the tumor had spread to the mesosigmoid and the superior mesentery. The tumor was very difficult to diagnose on the basis of imaging alone. Therefore, we obtained a biopsy at the time of laparotomy for definitive diagnosis. The biopsy showed extensive fibrosis and lymphocyte, plasma cell, and eosinophil infiltration in the associated adipose tissue. Sclerosing mesenteritis was diagnosed. The patient's symptoms improved immediately after initiating steroid therapy. Pathological examination and empirical steroid therapy are useful for the diagnosis and medical treatment of sclerosing mesenteritis, respectively.

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© 2014 by The Japanese Society of Gastroenterology
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