A case report of mesenteric panniculitis and fibrous dysplasia with primary metabolic syndrome
Introduction: Mesenteric panniculitis (MP) is a rare clinically diagnosed disease resulting from fibro-inflammation in the intestinal adipose tissue. Precedent intra-abdominal inflammation or trauma is often evident. Fibrous dysplasia (FD) is a benign uncommon childhood disease of the bones, with fi...
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SMC MEDIA SRL
2024-11-01
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| Series: | European Journal of Case Reports in Internal Medicine |
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| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/4922 |
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| author | Birgit Khandalavala Ryder Cuppett |
| author_facet | Birgit Khandalavala Ryder Cuppett |
| author_sort | Birgit Khandalavala |
| collection | DOAJ |
| description | Introduction: Mesenteric panniculitis (MP) is a rare clinically diagnosed disease resulting from fibro-inflammation in the intestinal adipose tissue. Precedent intra-abdominal inflammation or trauma is often evident. Fibrous dysplasia (FD) is a benign uncommon childhood disease of the bones, with fibrous connective tissue replacing bone tissue. FD can cause pain, disfigurement, and entrapment of critical neighbouring structures. Adult-onset craniofacial involvement is rare. Metabolic syndrome is characterized by obesity and chronic subclinical inflammation, promoting abnormal cellular fibrosis and proliferation. The concomitant incidence of MP and FD in an older female adult with metabolic syndrome is unprecedented. An aberrant metabolic contributory pathophysiology for both MP and FD could be postulated.
Case Report: A 60-year-old Caucasian woman with primary long-standing well-treated metabolic syndrome with obesity presented for revision bariatric surgery. She had previous intra-abdominal surgeries and occasional intermittent abdominal pain. The surgery was abandoned due to extensively inflamed intestinal mesentery. Radiological studies and intra-abdominal biopsy confirmed MP. She subsequently developed pronounced unilateral facial swelling and radiological studies confirmed FD. Treatment has been suboptimal for both MP and FD. She developed venous thromboembolism on tamoxifen treatment for MP. The patient currently reports abdominal pain and swelling from MP, and facial disfigurement, pain, and tinnitus from FD. Blood markers for inflammation have remained consistently high, and there is statin intolerance. Most recently liver steatosis and diabetes have developed.
Conclusion: A case of MP and FD with primary metabolic syndrome is unique. An increased awareness of such rare cases could lead to further research, and critically needed treatments to optimize outcomes. |
| format | Article |
| id | doaj-art-99c987adc85d4f5faf97f2b1bba9058f |
| institution | OA Journals |
| issn | 2284-2594 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj-art-99c987adc85d4f5faf97f2b1bba9058f2025-08-20T02:38:25ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942024-11-0110.12890/2024_0049224457A case report of mesenteric panniculitis and fibrous dysplasia with primary metabolic syndromeBirgit Khandalavala0Ryder Cuppett1Department of Family Medicine, University of Nebraska Medical Center, Omaha, USACollege of Medicine, University of Nebraska Medical Center, Omaha, USAIntroduction: Mesenteric panniculitis (MP) is a rare clinically diagnosed disease resulting from fibro-inflammation in the intestinal adipose tissue. Precedent intra-abdominal inflammation or trauma is often evident. Fibrous dysplasia (FD) is a benign uncommon childhood disease of the bones, with fibrous connective tissue replacing bone tissue. FD can cause pain, disfigurement, and entrapment of critical neighbouring structures. Adult-onset craniofacial involvement is rare. Metabolic syndrome is characterized by obesity and chronic subclinical inflammation, promoting abnormal cellular fibrosis and proliferation. The concomitant incidence of MP and FD in an older female adult with metabolic syndrome is unprecedented. An aberrant metabolic contributory pathophysiology for both MP and FD could be postulated. Case Report: A 60-year-old Caucasian woman with primary long-standing well-treated metabolic syndrome with obesity presented for revision bariatric surgery. She had previous intra-abdominal surgeries and occasional intermittent abdominal pain. The surgery was abandoned due to extensively inflamed intestinal mesentery. Radiological studies and intra-abdominal biopsy confirmed MP. She subsequently developed pronounced unilateral facial swelling and radiological studies confirmed FD. Treatment has been suboptimal for both MP and FD. She developed venous thromboembolism on tamoxifen treatment for MP. The patient currently reports abdominal pain and swelling from MP, and facial disfigurement, pain, and tinnitus from FD. Blood markers for inflammation have remained consistently high, and there is statin intolerance. Most recently liver steatosis and diabetes have developed. Conclusion: A case of MP and FD with primary metabolic syndrome is unique. An increased awareness of such rare cases could lead to further research, and critically needed treatments to optimize outcomes.https://www.ejcrim.com/index.php/EJCRIM/article/view/4922mesenteric panniculitisfibrous dysplasiametabolic syndromeobesity |
| spellingShingle | Birgit Khandalavala Ryder Cuppett A case report of mesenteric panniculitis and fibrous dysplasia with primary metabolic syndrome European Journal of Case Reports in Internal Medicine mesenteric panniculitis fibrous dysplasia metabolic syndrome obesity |
| title | A case report of mesenteric panniculitis and fibrous dysplasia with primary metabolic syndrome |
| title_full | A case report of mesenteric panniculitis and fibrous dysplasia with primary metabolic syndrome |
| title_fullStr | A case report of mesenteric panniculitis and fibrous dysplasia with primary metabolic syndrome |
| title_full_unstemmed | A case report of mesenteric panniculitis and fibrous dysplasia with primary metabolic syndrome |
| title_short | A case report of mesenteric panniculitis and fibrous dysplasia with primary metabolic syndrome |
| title_sort | case report of mesenteric panniculitis and fibrous dysplasia with primary metabolic syndrome |
| topic | mesenteric panniculitis fibrous dysplasia metabolic syndrome obesity |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/4922 |
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