Sclerosing Mesenteritis: A Rare Cause of Small Bowel Obstruction

ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)

Adam,Harvin,Glenn Graham (Creator)

Institution

East Carolina University (ECU )

Web Site: http://www.ecu.edu/lib/

Abstract: Sclerosing mesenteritis falls within a spectrum of primary idiopathic inflammatory and fibrotic processes that affect the mesentery. The exact etiology has not been determined, althoughthe following associations have been noted: abdominal surgery, trauma, autoimmunity,paraneoplastic syndrome, ischemia and infection. Progression of sclerosing mesentritis canlead to bowel obstruction, a rare complication of this uncommon condition. We report a caseof a 66-year-old female with abdominal pain who was noted to have a small bowel obstruction requiring laparotomy and a partial small bowel resection. The pathology of the resectedtissue was consistent with sclerosing mesenteritis, a rare cause of a small bowel obstruction.Sclerosing mesenteritis has variable rates of progression, and there is no consensus regarding the optimal treatment. Physicians should consider sclerosing mesenteritis in the differential diagnosis of a small bowel obstruction.

Additional Information

Publication

Other

Language: English

Date: 2016

Keywords

Mesenteritis · Small bowel obstruction · Bowel resection

Email this document to