tailieunhanh - Báo cáo y học: "Sclerosing mesenteritis affecting the small and the large intestine in a male patient with non-Hodgkin lymphoma: a case presentation and review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Sclerosing mesenteritis affecting the small and the large intestine in a male patient with non-Hodgkin lymphoma: a case presentation and review of the literature | Journal of Medical Case Reports BioMed Central Open Access Case report Sclerosing mesenteritis affecting the small and the large intestine in a male patient with non-Hodgkin lymphoma a case presentation and review of the literature Savvas Hiridis1 Renos Hadgigeorgiou1 Dimitrios Karakitsos2 and Andreas Karabinis 2 Address 12ndSurgical Department General Hospital of Athens 154 Mesogeion Avenue Athens 11527 Greece and intensive Care Unit General Hospital of Athens 154 Mesogeion Avenue Athens 11527 Greece Email Savvas Hiridis - echolabicu@ Renos Hadgigeorgiou - echolabicu@ Dimitrios Karakitsos - karakitsosd@ Andreas Karabinis - echolabicu@ Corresponding author Published 17 December 2008 Received 20 March 2008 Journal of Medical Case Reports 2008 2 388 doi l752-l947-2-388 Accepted 17 December 2008 This article is available from http content 2 l 388 2008 Hiridis 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 Sclerosing mesenteritis is a rare disease resembling a mesenteric tumour. We present here a case of sclerosing mesenteritis that affected both the large and the small intestine of the patient. Therapeutic and diagnostic issues are discussed. Case presentation A 62-year-old man with a history of non-Hodgkin lymphoma presented with fatigue a palpable tender abdominal mass and clinical signs of progressing intestinal obstruction. The preoperative evaluation failed to prove recurrence of the lymphoma or any other definite diagnosis. A laparotomy was performed through a midline incision. The mesentery resembled a tumour-like thickened and fibrotic mass. Abundant rigid intestinal loop adhesions were observed. Diffuse fibrotic .