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Lee, Kim, Ahn, Kim, Cheung, Park, Kim, and Im: Spontaneous Regression of Sclerosing Mesenteritis Presenting as a Huge Mass
Case Report
The Korean Journal of Gastroenterology

The Korean Journal of Gastroenterology 2012; 59(4): 317-320.

Published online: 23 April 2012

DOI: https://doi.org/10.4166/kjg.2012.59.4.317

Spontaneous Regression of Sclerosing Mesenteritis Presenting as a Huge Mass

Hyun Jeong Lee, Jin Il Kim, Ji Won Ahn, Jeong Ho Kim, Mo Eun Cheung, Soo-Heon Park, Jae Kwang Kim, Soyoung Im1

Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea.

1Department of Hostipal Pathology, The Catholic University of Korea, College of Medicine, Seoul, Korea.

Correspondence to: Jin Il Kim, Department of Internal Medicine, The Catholic University of Korea, Yeouido St. Mary's Hospital, 62 Yeouido-dong, Yeongdeungpo-gu, Seoul 150-713, Korea. Tel: +82-2-3779-2382, Fax: +82-2-3779-1331, jikim@catholic.ac.kr

Received 20 May 2011       Revised 18 August 2011       Accepted 19 August 2011

Copyright © 2012 The Korean Society of Gastroenterology

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Sclerosing mesenteritis is a rare benign disease originated from the mesenteries. It can be related to autoimmune disease, vasculitis, ischemia, infection, trauma and operation, but most of cases are idiopathic. The overall prognosis of sclerosing mesenteritis is usually good with benign, course. However, no consensus of treatment has yet been established. We report a case of spontaneous partial regression of sclerosing mesenteritis presented as a huge mass and diagnosed by finding of contrast enhanced abdominal computed tomography and percutaneous ultrasonography guided needle biopsy.

Keywords: Panniculitis, peritoneal, Neoplasm regression, spontaneous

Figures and Tables

Fig. 1
Abdomen computed tomography image with intravenous contrast showed huge mass like lesion with congestion of the mesenteric vessel (arrows).
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Fig. 2
Small bowel series showed the displacement of the small bowel due to mesenteric mass.
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Fig. 3
Microscopic finding showed focal infiltration of chronic inflammatory cells and fibroblast (H&E, ×100).
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Fig. 4
Follow up abdomen computed tomography performed 3 months later showed much regression of previously noted mass like lesion of the mesenteries.
kjg-59-317-g004
Table 1
Clinicopathologic Features in Six Cases of Idiopathic Sclerosing Mesenteritis in Korea
kjg-59-317-i001

F, female; M, male.

Notes

Financial support: None.

Conflict of interest: None.

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