tailieunhanh - Báo cáo y học: " Mesenteric panniculitis with pedal edema in a 33-year-old Pakistani man: a case report and literature review"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Mesenteric panniculitis with pedal edema in a 33-year-old Pakistani man: a case report and literature review | Journal of Medical Case Reports BioMed Central Open Access Case report Mesenteric panniculitis with pedal edema in a 33-year-old Pakistani man a case report and literature review Abdul M Zafar 1 Muhamad A Rauf2 Tabish Chawla2 and Gule Khanda1 Address Department of Radiology Aga Khan University Karachi Pakistan and 2Department of Surgery Aga Khan University Karachi Pakistan Email Abdul M Zafar - amueed@ Muhamad A Rauf - ameenrauf@ Tabish Chawla - Gule Khanda - Corresponding author Published 4 December 2008 Received 20 March 2008 Journal of Medical Case Reports 2008 2 365 doi 1752-1947-2-365 Accepted 4 December 2008 This article is available from http content 2 1 365 2008 Zafar et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Mesenteric panniculitis is a rare pathology of unknown etiology characterized by inflammation and fibrosis in the mesentery. Its protean clinical and radiological manifestations make it a diagnostic challenge. There is no established treatment available for its management. The clinical outcome is inconsistent with the prognosis ranging from complete resolution without any treatment to rapid progression culminating in death. Case presentation A 33-year-old Pakistani man presented with vague abdominal pain an ill-defined epigastric mass and bilateral pedal edema. A detailed review of his history and laboratory investigations did not point to any diagnosis. The patient underwent an exploratory laparotomy based on the finding of mesenteric soft-tissue density on computed tomography. The laparotomy did not prove to be of any diagnostic or therapeutic value. Upon review of the .