View source for Mesenteric panniculitis

==Background==
*Also known as sclerosing mesenteritis, mesenteric lipodystrophy, mesenteric sclerosis, retractile mesenteritis, mesenteric Weber-Christian disease, liposclerotic mesenteritis, lipomatosis and lipogranuloma of the mesentery<ref name="Issa">Issa I and Baydoun H. Mesenteric panniculitis: Various presentations and treatment regimens. World J Gastroenterol. 2009 Aug 14; 15(30): 3827–3830.</ref>
*A rare, benign, and chronic fibrosing inflammatory disease that affects the adipose tissue of the mesentery (of the small intestine and colon)<ref name="Issa" />.
*Occurs independently (specific cause unknown) or in association with other disorders<ref name="Issa" />

==Clinical Features==
*[[Abdominal pain]]

==Differential Diagnosis==


==Evaluation==
*Regional increase in mesenteric fat density on abdominal CT (i.e. “misty mesentery”)
**May be confirmed by surgical biopsy

==Management==
*Supportive ED treatment

There is no standardized treatment, and it may consist of anti-inflammatory or immunosuppressive agents. We recommend resection only when the advanced inflammatory changes become irreversible or in cases of bowel obstruction


*Chronic treatment includes workup of underlying etiology and consideration of medical therapy for severe/protracted disease (e.g. corticosteroids, cyclophosphamide, or azathioprine) 

==Disposition==
*Outpatient

==Prognosis==
*Overall prognosis is usually good and recurrence seems to be rare<ref name="Issa" />

==See Also==


==External Links==


==References==
<references/>

[[Category:GI]]