Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Refractory Sclerosing Mesenteritis Involving the Small Intestinal Mesentery: A Case Report and Literature Review
Katsuya EndoRintaro MoroiMikako SugimuraFumiyoshi FujishimaTakeshi NaitohNaoki TanakaHisashi ShigaYoichi KakutaSeiichi TakahashiYoshitaka KinouchiTooru Shimosegawa
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JOURNAL OPEN ACCESS

2014 Volume 53 Issue 13 Pages 1419-1427

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Abstract

A 28-year-old Japanese man presented with upper abdominal pain. Computed tomography (CT) revealed a soft tissue mass in the small bowel mesentery. We diagnosed the patient with sclerosing mesenteritis according to the histological findings of small bowel mesentery. Although he was treated with prednisolone, colchicine and azathioprine, neither his symptoms nor CT findings improved. This case is rare in that the disease was refractory. The characteristics of Japanese patients with sclerosing mesenteritis involving small bowel mesentery are not well understood. We herein describe the details of such patients based on a literature review including 32 recently reported Japanese cases.

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© 2014 by The Japanese Society of Internal Medicine
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