Abstract |
Many patients with chronic renal failure have dyspeptic symptoms. However, mesenteric panniculitis as a cause of dyspepsia has not been described in this patient group. We report a 78-year-old hemodialysis patient who was admitted because of intractable dyspepsia. Investigations with ultrasonography, endoscopy and barium studies were all inconclusive. Computed tomography of the abdomen demonstrated a large encapsuled soft-tissue mass in the root of mesentery. Percutaneous biopsy confirmed the diagnosis of mesenteric panniculitis. Percutaneous drainage was performed when liquefaction of the mesenteric mass lesion was noted on follow-up computed tomography 1 month later. Improvement of gastrointestinal symptoms occurred soon after drainage of the fluid component of the mesenteric mass. Microbiologic and cytologic studies of the drainage specimens were negative. Follow-up computed tomography 3 months later showed reduction in the size of the mesenteric mass.
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Authors | Y K Wen, M L Chen |
Journal | Clinical nephrology
(Clin Nephrol)
Vol. 71
Issue 2
Pg. 224-7
(Feb 2009)
ISSN: 0301-0430 [Print] Germany |
PMID | 19203522
(Publication Type: Case Reports, Journal Article)
|
Topics |
- Aged
- Diagnosis, Differential
- Dyspepsia
(etiology)
- Humans
- Kidney Failure, Chronic
(therapy)
- Male
- Panniculitis, Peritoneal
(complications)
- Renal Dialysis
- Tomography, X-Ray Computed
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