(12.) Nyberg L, Bjork J, Bjorkdahl P, Ekberg O, Sjoberg K, Vigren L Sclerosing
mesenteritis and mesenteric panniculitis - clinical experience and radiological features.
Mesenteric disorders are classified based on the main component of the pathology: fat necrosis, fibrosis, and chronic inflammation in the mesentery resulting in mesenteric lipodistrophy, sclerosing
mesenteritis, and MP, respectively.
Sclerosing
mesenteritis is a rare disorder that is characterized by chronic inflammation of the mesenteric adipose tissue.
Old New Mikulicz's IgG4-related disease dacryoadenitis and sialadenitis Sclerosing Kuttner's tumor, sialadenitis IgG4-related submandibular gland disease Inflammatory IgG4-related orbital orbital inflammation or pseudotumor orbital inflammatory pseudotumor Chronic Lacrimal gland sclerosing enlargement, dacryoadenitis IgG4-related dacryoadenitis Idiopathic' IgG4-related retroperitoneal retroperitoneal fibrosis, fibrosis (Ormond's IgG4-related
mesenteritis disease) andrelated disorders Chronic sclerosing IgG4-related aortitis or aortitis and periaortitis periaortitis Riedel's IgG4-related thyroid thyroiditis disease IgG4-related IgG4-related lung disease interstitial pneumonitis and pulmonary inflammatory pseudotumors IgG4-RD: immunoglobulin G4-relateddisease.
The diagnosis of sclerosing
mesenteritis was considered and she presented to our institution for further evaluation and management.
For the 75 cases considered nonamplified, diagnoses were lipoma (n = 46); intramuscular lipoma (n = 11); pleomorphic lipoma (n = 1); myofibroblastoma (n = 1); sclerosing
mesenteritis (n = 2); lipoma with fat necrosis (n = 4); pleomorphic sarcoma, not otherwise specified (n = 2); low-grade spindle cell neoplasm not further classifiable (n = 1); and benign mesenchymal myxoid neoplasm not further classifiable (n = 1).
A case of IgG4-related sclerosing
mesenteritis. Pathol Res Pract 2011;207:518-21.
In humans, this disorder has been referred to as mesenteric panniculitis, mesenteric lipodystrophy, and sclerosing
mesenteritis. However, all are considered to be a continuum of one primary inflammatory process, characterized by a variable degree of fat necrosis, chronic inflammation, and, eventually, fibrosis.
Another disease that can emulate a desmoid-type fibromatosis is the "sclerosing
mesenteritis" which presents itself as a well-defined mass that involves the mesenteric vessels.
Laparoscopic surgical biopsy and pathologic analysis determined the final diagnosis of sclerosing
mesenteritis (Figure 2).