What is mesenteric panniculitis?

Health Description
Health Consultation Description: I am trying to find information about mesentery panniculitis - diagnosed fairly recently. also info re "closed head I jury" or concussion due to my car being "t-boned" a few days ago with the older driver running a stop sign and making no attempt to slow or brake. thank you


Expert Reply

Condition analysis:
Mesenteric panniculitis is a benign inflammatory condition of the fat present in the mesentery. It is a very rare condition, diagnosed usually on CT scan or on surgery.

Since it is a rare condition not much is know about its cause. But it can be associated with variety of other conditions like cancers, abdominal surgery, thyroid conditions, drugs, auto-immune disorders etc. It has also been linked to smoking. It may also occur with out any of the above conditions.

Patients may or may not be symptomatic. Asymptomatic patients do not need any treatment. Symptomatic patients are usually treated with medicines, rarely surgery is needed. Medicines usually used are steroids, colchicine, azathioprine etc.

Regarding concussion injury to brain if there was no loss of consciousness and your CT head was normal after the accident then nothing needs to be done.

Instructions:
Diagnosis of Panniculitis
Physical examination of the client’s skin would assist in the diagnosis of the disease.

The condition can be readily identified if the patient undergoes a skin biopsy. This shall present necrotic components of the skin’s surface or the subcutaneous fatty layer. A hispatopathology examination of the skin can confirm panniculitis.

Imaging of the abdominal wall would also help in evaluating the skin problem. This can be attained through an ultrasound-guided biopsy, and radiographic tests would also provide a clear picture of the affected area.



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 Key words:  Mesenteric panniculitis

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