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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Benign mesenteric lipodystrophy presenting as low abdominal pain: a case report | Rees and Burgess Journal of Medical Case Reports 2010 4 119 http www.jmedicalcasereports.eom content 4 1 119 JOURNALOF.MEDICAL CASE REPORTS CASE REPORT Open Access Benign mesenteric lipodystrophy presenting as low abdominal pain a case report Jonathan Richard Rees1 and Phillip Burgess 2 Abstract Introduction Benign mesenteric lipodystrophy is rare and often presents in a non-specific fashion. Imaging findings may mimic a range of malignant conditions particularly malignant ovarian disease in women. Case presentation We present the case of a 61-year-old Caucasian woman who was referred to the gynaecology service at our institution and was thought to have ovarian malignancy and required a laparotomy. However histopathological analysis unexpectedly revealed benign mesenteric lipodystrophy. Conclusion Benign mesenteric lipodystrophy may mimic a range of conditions particularly malignancy. Introduction Benign mesenteric lipodystrophy is a rare condition with just over 200 cases being noted in the worldwide literature 1 . It was first described by Jura during the 1920s 2 and is characterized by non-specific inflammation involving the adipose tissue of the bowel mesentery 3 . It is commonly asymptomatic or only noted during cross sectional imaging investigations that have been undertaken for other indications 4 . However some patients present with symptoms that include abdominal tenderness or an abdominal mass while some may have abdominal pain fever a change in bowel habit and sometimes weight loss 5 6 . Its etiology is unclear. However previous trauma mesenteric ischemia or infection have been suggested as potential causes. Other documented possible associations with this disease include tuberculosis 1 pancreatitis malignant tumour particularly lymphoma vasculitis and granulomatous diseases 7 . The histopathology of this condition which is also called sclerosing mesenteri-tis has been described in three phases. Initially fat necrosis is seen leading to the nomenclature
