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Titolo:
Sclerosing mesenteritis involving the pancreas: two cases of a rare cause of abdominal mass mimicking malignancy
Autore:
Phillips, RH; Carr, RA; Preston, R; Pereira, SP; Wilkinson, ML; ODonnell, PJ; Thompson, RPH;
Indirizzi:
St Thomas Hosp, Rayne Inst, Gastrointestinal Lab, London SE1 7EH, England St Thomas Hosp London England SE1 7EH tinal Lab, London SE1 7EH, England
Titolo Testata:
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY
fascicolo: 11, volume: 11, anno: 1999,
pagine: 1323 - 1329
SICI:
0954-691X(199911)11:11<1323:SMITPT>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
RETRACTILE MESENTERITIS; RETROPERITONEAL FIBROSIS; F-18 FLUORODEOXYGLUCOSE; DIFFERENTIAL-DIAGNOSIS; IDIOPATHIC FIBROSIS; PANNICULITIS; LIPODYSTROPHY; PET;
Keywords:
pancreas; retroperitoneal fibrosis; sclerosing mesenteritis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
35
Recensione:
Indirizzi per estratti:
Indirizzo: Phillips, RH St Thomas Hosp, Rayne Inst, Gastrointestinal Lab, London SE1 7EH, England St Thomas Hosp London England SE1 7EH ndon SE1 7EH, England
Citazione:
R.H. Phillips et al., "Sclerosing mesenteritis involving the pancreas: two cases of a rare cause of abdominal mass mimicking malignancy", EUR J GASTR, 11(11), 1999, pp. 1323-1329

Abstract

Two patients presented with abdominal pain and weight loss and each was found to have an abdominal mass involving the pancreas and small bowel mesentery. In both cases a malignant process was suspected clinically, radiologically and surgically. Multiple biopsy specimens in both patients showed dense fibrosis, chronic inflammation and fat necrosis with pancreatic infiltration. Histological opinions included the differential diagnosis of retroperitoneal fibrosis but, with the knowledge of the presence of localized masses, these cases were eventually considered to be due to sclerosing mesenteritis. Direct involvement of the pancreas has not previously been highlighted and led to diagnostic difficulty. Both patients have responded to treatmentwith corticosteroids, interestingly, one of the patients subsequently developed a tubulo-interstitial nephritis, which has not previously been reported as associated with sclerosing mesenteritis, This has also responded to corticosteroid treatment. Eur J Gastroenterol Hepatol 11:1323-1329 (C) 1999 Lippincott Williams & Wilkins.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 20:08:43