Materiały źródłowe

• #1 Sclerosing mesenteritis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/sclerosing-mesenteritis/symptoms-causes/syc-20355087

  Sclerosing mesenteritis care at Mayo Clinic […] Sclerosing mesenteritis is a condition in which tissue that holds the small intestines in place, called the mesentery, becomes inflamed and forms scar tissue. […] In rare cases, scar tissue formed by sclerosing mesenteritis can block food from moving through the digestive tract. In this case, you may need surgery.

• #2 Mayo Clinic Health Library – Sclerosing mesenteritis | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20213811

  Sclerosing mesenteritis is a rare condition that may lead to blockage in the small intestine. […] Sclerosing mesenteritis is a condition in which tissue that holds the small intestines in place, called the mesentery, becomes inflamed and forms scar tissue. […] Sclerosing mesenteritis can cause belly pain, vomiting, bloating, diarrhea and fever. But some people experience no symptoms and may never need treatment. […] In rare cases, scar tissue formed by sclerosing mesenteritis can block food from moving through the digestive tract. In this case, you may need surgery. […] If you are not experiencing discomfort from sclerosing mesenteritis, you may not need treatment. Instead, occasional imaging tests may be recommended to monitor your condition. […] If you begin to experience symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] You may need surgery if the scar tissue blocks food from moving through your digestive tract.

• #3 Sclerosing mesenteritis | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/sclerosing-mesenteritis?content_id=CON-20213811

  Sclerosing mesenteritis is a rare condition that may lead to blockage in the small intestine. […] Sclerosing mesenteritis can cause belly pain, vomiting, bloating, diarrhea and fever. But some people experience no symptoms and may never need treatment. […] In rare cases, scar tissue formed by sclerosing mesenteritis can block food from moving through the digestive tract. In this case, you may need surgery. […] If you are not experiencing discomfort from sclerosing mesenteritis, you may not need treatment. Instead, occasional imaging tests may be recommended to monitor your condition. […] If you begin to experience symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] You may need surgery if the scar tissue blocks food from moving through your digestive tract.

• #4 Sclerosing mesenteritis:an uncommon cause of chronic abdominal pain – MedCrave online

  https://medcraveonline.com/GHOA/sclerosing-mesenteritisan-uncommon-cause-of-chronic-abdominal-pain.html

  Sclerosing mesenteritis (SM), also known as mesenteric panniculitis or mesenteric lipodystrophy, is a rare disease that affects the mesentery of the small intestine. […] Asymptomatic patients typically require no treatment, while refractory cases have shown some symptomatic improvement with immunosuppressive therapy. […] Due to the rarity of the condition, there are no specific guidelines for treatment of SM however steroids, colchicine, azathioprine, thalidomide, cyclophosphamide and progesterone have been tried, however asymptomatic cases don’t need therapy. Surgical resection is recommended for non-resolving cases and complicated by bowel obstruction. […] A treatment algorithm was prepared by Akram after review on 92 cases. Asymptomatic patients with incidental diagnosis do not need treatment. Patients with features of bowel obstruction need to undergo surgical treatment followed by tamoxifen plus tapering dose of steroids if there is persistence of symptoms.

• #5 Idiopathic sclerosing mesenteritis presenting with small bowel volvulus in a patient with antiphospholipid syndrome: A case report

  https://wjgnet.com/2307-8960/abstract/v11/i14/3304.htm

  Sclerosing mesenteritis is a rare disorder involving inflammation of the mesentery. Its etiology remains unclear, but it is believed to be associated with previous abdominal surgery, trauma, autoimmune disorders, infection, or malignancy. Clinical manifestations of sclerosing mesenteritis are varied and include chronic abdominal pain, bloating, diarrhea, weight loss, formation of an intra-abdominal mass, bowel obstruction, and chylous ascites. […] Sclerosing mesenteritis is a rare condition, and patients with no clear etiology should be considered for treatment with immunosuppressive therapy. […] In patients with sclerosing mesenteritis, any condition that causes chronic inflammation of mesenteric tissue should be investigated. Antiphospholipid syndrome may be linked with chronic thrombotic activity that can contribute to chronic ischemia of the mesentery. Patients with uncertain etiology should be considered for treatment with immunosuppressive therapy.

• #6 Idiopathic sclerosing mesenteritis presenting with small bowel volvulus in a patient with antiphospholipid syndrome: A case report

  https://www.wjgnet.com/2307-8960/full/v11/i14/3304.htm

  Sclerosing mesenteritis is a rare disorder involving inflammation of the mesentery. Its etiology remains unclear, but it is believed to be associated with previous abdominal surgery, trauma, autoimmune disorders, infection, or malignancy. Clinical manifestations of sclerosing mesenteritis are varied and include chronic abdominal pain, bloating, diarrhea, weight loss, formation of an intra-abdominal mass, bowel obstruction, and chylous ascites. […] Sclerosing mesenteritis is a rare condition, and patients with no clear etiology should be considered for treatment with immunosuppressive therapy. […] In patients with sclerosing mesenteritis, any condition that causes chronic inflammation of mesenteric tissue should be investigated. Antiphospholipid syndrome may be linked with chronic thrombotic activity that can contribute to chronic ischemia of the mesentery. Patients with uncertain etiology should be considered for treatment with immunosuppressive therapy.

• #7 Idiopathic sclerosing mesenteritis presenting with small bowel volvulus in a patient with antiphospholipid syndrome: A case report

  https://wjgnet.com/2307-8960/abstract/v11/i14/3304.htm

  Sclerosing mesenteritis is a rare disorder involving inflammation of the mesentery. Its etiology remains unclear, but it is believed to be associated with previous abdominal surgery, trauma, autoimmune disorders, infection, or malignancy. Clinical manifestations of sclerosing mesenteritis are varied and include chronic abdominal pain, bloating, diarrhea, weight loss, formation of an intra-abdominal mass, bowel obstruction, and chylous ascites. […] Sclerosing mesenteritis is a rare condition, and patients with no clear etiology should be considered for treatment with immunosuppressive therapy. […] In patients with sclerosing mesenteritis, any condition that causes chronic inflammation of mesenteric tissue should be investigated. Antiphospholipid syndrome may be linked with chronic thrombotic activity that can contribute to chronic ischemia of the mesentery. Patients with uncertain etiology should be considered for treatment with immunosuppressive therapy.

• #8 Idiopathic sclerosing mesenteritis presenting with small bowel volvulus in a patient with antiphospholipid syndrome: A case report

  https://www.wjgnet.com/2307-8960/full/v11/i14/3304.htm

  Sclerosing mesenteritis is a rare disorder involving inflammation of the mesentery. Its etiology remains unclear, but it is believed to be associated with previous abdominal surgery, trauma, autoimmune disorders, infection, or malignancy. Clinical manifestations of sclerosing mesenteritis are varied and include chronic abdominal pain, bloating, diarrhea, weight loss, formation of an intra-abdominal mass, bowel obstruction, and chylous ascites. […] Sclerosing mesenteritis is a rare condition, and patients with no clear etiology should be considered for treatment with immunosuppressive therapy. […] In patients with sclerosing mesenteritis, any condition that causes chronic inflammation of mesenteric tissue should be investigated. Antiphospholipid syndrome may be linked with chronic thrombotic activity that can contribute to chronic ischemia of the mesentery. Patients with uncertain etiology should be considered for treatment with immunosuppressive therapy.

• #9 Sclerosing mesenteritis | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/sclerosing-mesenteritis

  Sclerosing mesenteritis can cause belly pain, vomiting, bloating, diarrhea and fever. But some people experience no symptoms and may never need treatment. […] You may be diagnosed with sclerosing mesenteritis while you are receiving care for another condition. If you are not experiencing discomfort from sclerosing mesenteritis, you may not need treatment. Instead, occasional imaging tests may be recommended to monitor your condition. […] If you begin to experience symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] You may need surgery if the scar tissue blocks food from moving through your digestive tract.

• #10 Sclerosing mesenteritis

  https://www.mymlc.com/health-information/diseases-and-conditions/s/sclerosing-mesenteritis/

  Sclerosing mesenteritis can cause abdominal pain, vomiting, bloating, diarrhea and fever. But some people experience no signs and symptoms and may never need treatment. […] You may be diagnosed with sclerosing mesenteritis while you are receiving care for another condition. If you are not experiencing discomfort from sclerosing mesenteritis, you may not require treatment. Instead, your doctor may recommend periodic imaging tests to monitor your condition. […] If you begin to experience signs and symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] Medications for sclerosing mesenteritis are intended to control inflammation. […] If sclerosing mesenteritis advances to block the flow of food through your digestive system, you may need surgery to remove the blockage.

• #11 Sclerosing mesenteritis | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/sclerosing-mesenteritis

  Sclerosing mesenteritis can cause belly pain, vomiting, bloating, diarrhea and fever. But some people experience no symptoms and may never need treatment. […] You may be diagnosed with sclerosing mesenteritis while you are receiving care for another condition. If you are not experiencing discomfort from sclerosing mesenteritis, you may not need treatment. Instead, occasional imaging tests may be recommended to monitor your condition. […] If you begin to experience symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] You may need surgery if the scar tissue blocks food from moving through your digestive tract.

• #12

  https://journals.lww.com/ajg/fulltext/2022/10002/s3391_chronic_sclerosing_mesenteritis__an_uncommon.3391.aspx

  Sclerosing mesenteritis is an uncommon condition where chronic inflammation and necrosis of mesenteric adipose tissue leads to progressive fibrosis. […] This case highlights the association between sclerosing mesenteritis and chronic diarrhea. […] Therefore, it is prudent to consider this disease in the workup of chronic diarrhea and obtain imaging when indicated, as these patients may qualify for advanced therapies. […] Since immunosuppressive agents are the standard of care for symptomatic sclerosing mesenteritis, the escalation of this patients diarrhea to a point requiring hospitalization suggests that diarrhea may be sufficient justification for initiation of immunosuppressive therapy in diagnosed patients, although further research is needed to establish this utility.

• #13 Sclerosing mesenteritis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/sclerosing-mesenteritis/diagnosis-treatment/drc-20450343

  Our caring team of Mayo Clinic experts can help you with your sclerosing mesenteritis-related health concerns […] If you are not experiencing discomfort from sclerosing mesenteritis, you may not need treatment. Instead, occasional imaging tests may be recommended to monitor your condition. […] If you begin to experience symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] You may need surgery if the scar tissue blocks food from moving through your digestive tract.

• #14 Sclerosing mesenteritis | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/sclerosing-mesenteritis

  Sclerosing mesenteritis can cause belly pain, vomiting, bloating, diarrhea and fever. But some people experience no symptoms and may never need treatment. […] You may be diagnosed with sclerosing mesenteritis while you are receiving care for another condition. If you are not experiencing discomfort from sclerosing mesenteritis, you may not need treatment. Instead, occasional imaging tests may be recommended to monitor your condition. […] If you begin to experience symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] You may need surgery if the scar tissue blocks food from moving through your digestive tract.

• #15 Sclerosing mesenteritis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/sclerosing-mesenteritis/diagnosis-treatment/drc-20450343

  Our caring team of Mayo Clinic experts can help you with your sclerosing mesenteritis-related health concerns […] If you are not experiencing discomfort from sclerosing mesenteritis, you may not need treatment. Instead, occasional imaging tests may be recommended to monitor your condition. […] If you begin to experience symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] You may need surgery if the scar tissue blocks food from moving through your digestive tract.

• #16 Sclerosing mesenteritis – Medicine.com

  https://www.medicine.com/topic/sclerosing-mesenteritis

  You may be diagnosed with sclerosing mesenteritis while you are receiving care for another condition. If you are not experiencing discomfort from sclerosing mesenteritis, you may not require treatment. Instead, your doctor may recommend periodic imaging tests to monitor your condition. […] If you begin to experience signs and symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] Medications for sclerosing mesenteritis are intended to control inflammation. […] If sclerosing mesenteritis advances to block the flow of food through your digestive system, you may need surgery to remove the blockage.

• #17 Sclerosing mesenteritis

  https://www.mymlc.com/health-information/diseases-and-conditions/s/sclerosing-mesenteritis/

  Sclerosing mesenteritis can cause abdominal pain, vomiting, bloating, diarrhea and fever. But some people experience no signs and symptoms and may never need treatment. […] You may be diagnosed with sclerosing mesenteritis while you are receiving care for another condition. If you are not experiencing discomfort from sclerosing mesenteritis, you may not require treatment. Instead, your doctor may recommend periodic imaging tests to monitor your condition. […] If you begin to experience signs and symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] Medications for sclerosing mesenteritis are intended to control inflammation. […] If sclerosing mesenteritis advances to block the flow of food through your digestive system, you may need surgery to remove the blockage.

• #18

  https://www.alliedacademies.org/articles/igg4related-sclerosing-mesenteritis-and-its-possible-relation-to-papillarythyroid-carcinoma-in-a-27yearold-egyptian-woman-8629.html

  Sclerosing mesenteritis (SM) is a rare fibro inflammatory disease unknown etiology involves the small bowel mesentry, most frequently observed in middle aged and older men. […] Management ranges from left untreated in asymptomatic patients to surgical exploration in life threatening complications as bowel obstruction or perforation or if there is a suspicion of malignancy. Medical treatment including corticosteroids, tamoxifen, cyclophosphamide and azathioprine has also shown good results especially corticosteroids if SM is due to IgG4- RD. […] Building on the specific treatment recommendations given to patients by their doctor, meetings between the care manager and the patient could take a broad perspective and consider the medical, social, behavioral, and emotional impact that living with a chronic conditioner reducing a health risk might have on the patients quality of life.

• #19

  https://www.alliedacademies.org/articles/igg4related-sclerosing-mesenteritis-and-its-possible-relation-to-papillarythyroid-carcinoma-in-a-27yearold-egyptian-woman-8629.html

  Each of the care managers interventions was intended to increase patient empowerment, supporting patients to develop the confidence to effectively self-manage their health. […] Unfortunately, in this case like many others we dont have this system of care manager, social workers, actually, her husband which is a police officer did well the role of care manager. […] We recommend inclusion of IgG related sclerosis mesenteritis in every case of IgG4 recurrent abdominal pain and/or mesenteric masses. […] IgG4-RD may be associated with SM, Hashimotos thyroiditis, and papillary thyroid carcinoma. Although SM may be difficult to be diagnosed without histopathology, yet, it should be considered in any abdominal pain or mesentric mass to avoid unnecessary surgical interventions especially with good response to corticosteroids.

• #20 Sclerosing mesenteritis – Medicine.com

  https://www.medicine.com/topic/sclerosing-mesenteritis

  You may be diagnosed with sclerosing mesenteritis while you are receiving care for another condition. If you are not experiencing discomfort from sclerosing mesenteritis, you may not require treatment. Instead, your doctor may recommend periodic imaging tests to monitor your condition. […] If you begin to experience signs and symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] Medications for sclerosing mesenteritis are intended to control inflammation. […] If sclerosing mesenteritis advances to block the flow of food through your digestive system, you may need surgery to remove the blockage.

• #21 Sclerosing Mesenteritis Managed Conservatively With Prednisone

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10040226/

  The authors present the case of a middle-aged lady with two weeks of abdominal pain. […] In our patients case, she was able to be managed conservatively, without the need for surgery. This reflects the most benign and self-limiting natural history of the disease. […] Treatment for sclerosing mesenteritis typically involves medications to manage symptoms and reduce inflammation. These can include non-steroidal anti-inflammatory drugs (NSAIDs) and immunosuppressive agents. Surgery is reserved for bowel obstruction or perforation or complicated panniculitis refractory to medical treatment. […] In many cases, where the condition is not severe, conservative treatment with observation would suffice. This was the case with our patient. A similar resolution of sclerosing mesenteritis with steroid therapy is documented in the literature. […] Our patient had a relatively benign course which did not require surgical intervention but rather was able to be managed with only steroid therapy.

• #22 Sclerosing mesenteritis:an uncommon cause of chronic abdominal pain – MedCrave online

  https://medcraveonline.com/GHOA/sclerosing-mesenteritisan-uncommon-cause-of-chronic-abdominal-pain.html

  Sclerosing mesenteritis (SM), also known as mesenteric panniculitis or mesenteric lipodystrophy, is a rare disease that affects the mesentery of the small intestine. […] Asymptomatic patients typically require no treatment, while refractory cases have shown some symptomatic improvement with immunosuppressive therapy. […] Due to the rarity of the condition, there are no specific guidelines for treatment of SM however steroids, colchicine, azathioprine, thalidomide, cyclophosphamide and progesterone have been tried, however asymptomatic cases don’t need therapy. Surgical resection is recommended for non-resolving cases and complicated by bowel obstruction. […] A treatment algorithm was prepared by Akram after review on 92 cases. Asymptomatic patients with incidental diagnosis do not need treatment. Patients with features of bowel obstruction need to undergo surgical treatment followed by tamoxifen plus tapering dose of steroids if there is persistence of symptoms.

• #23 Diabetic Man With Sclerosing Mesenteritis Experiences Glycemic Control With Steroids | MedPage Today

  https://www.medpagetoday.com/casestudies/endocrinology/92971

  Clinicians start the patient on 40-mg prednisone daily. This reduces his abdominal pain and improves glycemic control, as indicated by a lower insulin requirement (total mean daily dose of insulin of 32 IU). […] Case authors conclude that sclerosing mesenteritis should be included in the differential diagnosis of abdominal pain in diabetes patients, and considered when seeking a cause of metabolic decompensation in patients with diabetes. While glucocorticoid treatment generally results in a significant increase in blood glucose levels, it can paradoxically lead to better glycemic control in patients with sclerosing mesenteritis.

• #24 Diabetic Man With Sclerosing Mesenteritis Experiences Glycemic Control With Steroids | MedPage Today

  https://www.medpagetoday.com/casestudies/endocrinology/92971

  Clinicians start the patient on 40-mg prednisone daily. This reduces his abdominal pain and improves glycemic control, as indicated by a lower insulin requirement (total mean daily dose of insulin of 32 IU). […] Case authors conclude that sclerosing mesenteritis should be included in the differential diagnosis of abdominal pain in diabetes patients, and considered when seeking a cause of metabolic decompensation in patients with diabetes. While glucocorticoid treatment generally results in a significant increase in blood glucose levels, it can paradoxically lead to better glycemic control in patients with sclerosing mesenteritis.

• #25 Sclerosing mesenteritis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/sclerosing-mesenteritis/diagnosis-treatment/drc-20450343

  Our caring team of Mayo Clinic experts can help you with your sclerosing mesenteritis-related health concerns […] If you are not experiencing discomfort from sclerosing mesenteritis, you may not need treatment. Instead, occasional imaging tests may be recommended to monitor your condition. […] If you begin to experience symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] You may need surgery if the scar tissue blocks food from moving through your digestive tract.

• #26 Sclerosing mesenteritis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/sclerosing-mesenteritis/symptoms-causes/syc-20355087

  Sclerosing mesenteritis care at Mayo Clinic […] Sclerosing mesenteritis is a condition in which tissue that holds the small intestines in place, called the mesentery, becomes inflamed and forms scar tissue. […] In rare cases, scar tissue formed by sclerosing mesenteritis can block food from moving through the digestive tract. In this case, you may need surgery.

• #27 Mayo Clinic Health Library – Sclerosing mesenteritis | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20213811

  Sclerosing mesenteritis is a rare condition that may lead to blockage in the small intestine. […] Sclerosing mesenteritis is a condition in which tissue that holds the small intestines in place, called the mesentery, becomes inflamed and forms scar tissue. […] Sclerosing mesenteritis can cause belly pain, vomiting, bloating, diarrhea and fever. But some people experience no symptoms and may never need treatment. […] In rare cases, scar tissue formed by sclerosing mesenteritis can block food from moving through the digestive tract. In this case, you may need surgery. […] If you are not experiencing discomfort from sclerosing mesenteritis, you may not need treatment. Instead, occasional imaging tests may be recommended to monitor your condition. […] If you begin to experience symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] You may need surgery if the scar tissue blocks food from moving through your digestive tract.

• #28 Sclerosing mesenteritis:an uncommon cause of chronic abdominal pain – MedCrave online

  https://medcraveonline.com/GHOA/sclerosing-mesenteritisan-uncommon-cause-of-chronic-abdominal-pain.html

  Sclerosing mesenteritis (SM), also known as mesenteric panniculitis or mesenteric lipodystrophy, is a rare disease that affects the mesentery of the small intestine. […] Asymptomatic patients typically require no treatment, while refractory cases have shown some symptomatic improvement with immunosuppressive therapy. […] Due to the rarity of the condition, there are no specific guidelines for treatment of SM however steroids, colchicine, azathioprine, thalidomide, cyclophosphamide and progesterone have been tried, however asymptomatic cases don’t need therapy. Surgical resection is recommended for non-resolving cases and complicated by bowel obstruction. […] A treatment algorithm was prepared by Akram after review on 92 cases. Asymptomatic patients with incidental diagnosis do not need treatment. Patients with features of bowel obstruction need to undergo surgical treatment followed by tamoxifen plus tapering dose of steroids if there is persistence of symptoms.

• #29 Sclerosing Mesenteritis Managed Conservatively With Prednisone

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10040226/

  The authors present the case of a middle-aged lady with two weeks of abdominal pain. […] In our patients case, she was able to be managed conservatively, without the need for surgery. This reflects the most benign and self-limiting natural history of the disease. […] Treatment for sclerosing mesenteritis typically involves medications to manage symptoms and reduce inflammation. These can include non-steroidal anti-inflammatory drugs (NSAIDs) and immunosuppressive agents. Surgery is reserved for bowel obstruction or perforation or complicated panniculitis refractory to medical treatment. […] In many cases, where the condition is not severe, conservative treatment with observation would suffice. This was the case with our patient. A similar resolution of sclerosing mesenteritis with steroid therapy is documented in the literature. […] Our patient had a relatively benign course which did not require surgical intervention but rather was able to be managed with only steroid therapy.

• #30 Sclerosing Mesenteritis Presenting with Small Bowel Obstruction in a Patient with Compensated Cirrhosis: A Case Report

  https://fortuneonline.org/articles/sclerosing-mesenteritis-presenting-with-small-bowel-obstruction-in-a-patient-with-compensated-cirrhosis-a-case-report.html

  Sclerosing Mesenteritis (SM) is a rare fibroinflammatory disease of unknown etiology in which intestinal obstruction results from encasement of variable lengths of bowel by a dense fibrocollagenous membrane that gives the appearance of a cocoon. […] The insidious onset of bowel obstruction symptoms in patients with even compensated cirrhosis, should include SM in the differential diagnosis. […] Diagnosis of SM is a diagnostic challenge and requires a high index of clinical suspicion. It can be facilitated by the patients history, existing predisposing factors, various biochemical parameters and radiological imaging. […] A better awareness of this rare clinical entity and the imaging findings may facilitate pre-operative diagnosis, which is critical for selecting the appropriate surgical intervention or even avoid the need for surgery and instead apply immunosuppressive drug therapy. […] Our case suggests that the insidious onset of bowel obstruction symptoms in a cirrhotic patient, even if cirrhosis is compensated and uncomplicated, should include SM in the differential diagnosis.

• #31

  https://www.alliedacademies.org/articles/igg4related-sclerosing-mesenteritis-and-its-possible-relation-to-papillarythyroid-carcinoma-in-a-27yearold-egyptian-woman-8629.html

  Sclerosing mesenteritis (SM) is a rare fibro inflammatory disease unknown etiology involves the small bowel mesentry, most frequently observed in middle aged and older men. […] Management ranges from left untreated in asymptomatic patients to surgical exploration in life threatening complications as bowel obstruction or perforation or if there is a suspicion of malignancy. Medical treatment including corticosteroids, tamoxifen, cyclophosphamide and azathioprine has also shown good results especially corticosteroids if SM is due to IgG4- RD. […] Building on the specific treatment recommendations given to patients by their doctor, meetings between the care manager and the patient could take a broad perspective and consider the medical, social, behavioral, and emotional impact that living with a chronic conditioner reducing a health risk might have on the patients quality of life.

• #32

  https://www.alliedacademies.org/articles/igg4related-sclerosing-mesenteritis-and-its-possible-relation-to-papillarythyroid-carcinoma-in-a-27yearold-egyptian-woman-8629.html

  Each of the care managers interventions was intended to increase patient empowerment, supporting patients to develop the confidence to effectively self-manage their health. […] Unfortunately, in this case like many others we dont have this system of care manager, social workers, actually, her husband which is a police officer did well the role of care manager. […] We recommend inclusion of IgG related sclerosis mesenteritis in every case of IgG4 recurrent abdominal pain and/or mesenteric masses. […] IgG4-RD may be associated with SM, Hashimotos thyroiditis, and papillary thyroid carcinoma. Although SM may be difficult to be diagnosed without histopathology, yet, it should be considered in any abdominal pain or mesentric mass to avoid unnecessary surgical interventions especially with good response to corticosteroids.

• #33

  https://www.alliedacademies.org/articles/igg4related-sclerosing-mesenteritis-and-its-possible-relation-to-papillarythyroid-carcinoma-in-a-27yearold-egyptian-woman-8629.html

  Each of the care managers interventions was intended to increase patient empowerment, supporting patients to develop the confidence to effectively self-manage their health. […] Unfortunately, in this case like many others we dont have this system of care manager, social workers, actually, her husband which is a police officer did well the role of care manager. […] We recommend inclusion of IgG related sclerosis mesenteritis in every case of IgG4 recurrent abdominal pain and/or mesenteric masses. […] IgG4-RD may be associated with SM, Hashimotos thyroiditis, and papillary thyroid carcinoma. Although SM may be difficult to be diagnosed without histopathology, yet, it should be considered in any abdominal pain or mesentric mass to avoid unnecessary surgical interventions especially with good response to corticosteroids.

• #34

  https://www.alliedacademies.org/articles/igg4related-sclerosing-mesenteritis-and-its-possible-relation-to-papillarythyroid-carcinoma-in-a-27yearold-egyptian-woman-8629.html

  Each of the care managers interventions was intended to increase patient empowerment, supporting patients to develop the confidence to effectively self-manage their health. […] Unfortunately, in this case like many others we dont have this system of care manager, social workers, actually, her husband which is a police officer did well the role of care manager. […] We recommend inclusion of IgG related sclerosis mesenteritis in every case of IgG4 recurrent abdominal pain and/or mesenteric masses. […] IgG4-RD may be associated with SM, Hashimotos thyroiditis, and papillary thyroid carcinoma. Although SM may be difficult to be diagnosed without histopathology, yet, it should be considered in any abdominal pain or mesentric mass to avoid unnecessary surgical interventions especially with good response to corticosteroids.

• #35 Mayo Clinic Proceedings Sclerosing Mesenteritis: A Concise Clinical Review for Clinicians (May 1, 2024) | Mayo Clinic School of Continuous Professional Development

  https://ce.mayo.edu/internal-medicine/content/mayo-clinic-proceedings-sclerosing-mesenteritis-concise-clinical-review-clinicians-may-1

  On completion of this article, you should be able to (1) identify risk factors for sclerosing mesenteritis (SM); (2) recognize common clinical symptoms of SM and formulate a differential diagnosis for clinically incongruent cases; and (3) develop a treatment plan for patients with SM based on the severity of symptoms, comorbidities, and/or complications. […] Successful completion of this CME activity enables the participant to earn up to 1 Medical Knowledge MOC point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. […] A certificate of attendance will be provided to other healthcare professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

• #36

  https://www.alliedacademies.org/articles/igg4related-sclerosing-mesenteritis-and-its-possible-relation-to-papillarythyroid-carcinoma-in-a-27yearold-egyptian-woman-8629.html

  Sclerosing mesenteritis (SM) is a rare fibro inflammatory disease unknown etiology involves the small bowel mesentry, most frequently observed in middle aged and older men. […] Management ranges from left untreated in asymptomatic patients to surgical exploration in life threatening complications as bowel obstruction or perforation or if there is a suspicion of malignancy. Medical treatment including corticosteroids, tamoxifen, cyclophosphamide and azathioprine has also shown good results especially corticosteroids if SM is due to IgG4- RD. […] Building on the specific treatment recommendations given to patients by their doctor, meetings between the care manager and the patient could take a broad perspective and consider the medical, social, behavioral, and emotional impact that living with a chronic conditioner reducing a health risk might have on the patients quality of life.

• #37

  https://www.alliedacademies.org/articles/igg4related-sclerosing-mesenteritis-and-its-possible-relation-to-papillarythyroid-carcinoma-in-a-27yearold-egyptian-woman-8629.html

  Sclerosing mesenteritis (SM) is a rare fibro inflammatory disease unknown etiology involves the small bowel mesentry, most frequently observed in middle aged and older men. […] Management ranges from left untreated in asymptomatic patients to surgical exploration in life threatening complications as bowel obstruction or perforation or if there is a suspicion of malignancy. Medical treatment including corticosteroids, tamoxifen, cyclophosphamide and azathioprine has also shown good results especially corticosteroids if SM is due to IgG4- RD. […] Building on the specific treatment recommendations given to patients by their doctor, meetings between the care manager and the patient could take a broad perspective and consider the medical, social, behavioral, and emotional impact that living with a chronic conditioner reducing a health risk might have on the patients quality of life.

• #38

  https://www.alliedacademies.org/articles/igg4related-sclerosing-mesenteritis-and-its-possible-relation-to-papillarythyroid-carcinoma-in-a-27yearold-egyptian-woman-8629.html

  Each of the care managers interventions was intended to increase patient empowerment, supporting patients to develop the confidence to effectively self-manage their health. […] Unfortunately, in this case like many others we dont have this system of care manager, social workers, actually, her husband which is a police officer did well the role of care manager. […] We recommend inclusion of IgG related sclerosis mesenteritis in every case of IgG4 recurrent abdominal pain and/or mesenteric masses. […] IgG4-RD may be associated with SM, Hashimotos thyroiditis, and papillary thyroid carcinoma. Although SM may be difficult to be diagnosed without histopathology, yet, it should be considered in any abdominal pain or mesentric mass to avoid unnecessary surgical interventions especially with good response to corticosteroids.

• #39

  https://www.alliedacademies.org/articles/igg4related-sclerosing-mesenteritis-and-its-possible-relation-to-papillarythyroid-carcinoma-in-a-27yearold-egyptian-woman-8629.html

  Each of the care managers interventions was intended to increase patient empowerment, supporting patients to develop the confidence to effectively self-manage their health. […] Unfortunately, in this case like many others we dont have this system of care manager, social workers, actually, her husband which is a police officer did well the role of care manager. […] We recommend inclusion of IgG related sclerosis mesenteritis in every case of IgG4 recurrent abdominal pain and/or mesenteric masses. […] IgG4-RD may be associated with SM, Hashimotos thyroiditis, and papillary thyroid carcinoma. Although SM may be difficult to be diagnosed without histopathology, yet, it should be considered in any abdominal pain or mesentric mass to avoid unnecessary surgical interventions especially with good response to corticosteroids.

• #40 Sclerosing Mesenteritis Presenting with Small Bowel Obstruction in a Patient with Compensated Cirrhosis: A Case Report

  https://fortuneonline.org/articles/sclerosing-mesenteritis-presenting-with-small-bowel-obstruction-in-a-patient-with-compensated-cirrhosis-a-case-report.html

  Sclerosing Mesenteritis (SM) is a rare fibroinflammatory disease of unknown etiology in which intestinal obstruction results from encasement of variable lengths of bowel by a dense fibrocollagenous membrane that gives the appearance of a cocoon. […] The insidious onset of bowel obstruction symptoms in patients with even compensated cirrhosis, should include SM in the differential diagnosis. […] Diagnosis of SM is a diagnostic challenge and requires a high index of clinical suspicion. It can be facilitated by the patients history, existing predisposing factors, various biochemical parameters and radiological imaging. […] A better awareness of this rare clinical entity and the imaging findings may facilitate pre-operative diagnosis, which is critical for selecting the appropriate surgical intervention or even avoid the need for surgery and instead apply immunosuppressive drug therapy. […] Our case suggests that the insidious onset of bowel obstruction symptoms in a cirrhotic patient, even if cirrhosis is compensated and uncomplicated, should include SM in the differential diagnosis.

• #41 Idiopathic sclerosing mesenteritis presenting with small bowel volvulus in a patient with antiphospholipid syndrome: A case report

  https://www.wjgnet.com/2307-8960/full/v11/i14/3304.htm

  Sclerosing mesenteritis is a rare disorder involving inflammation of the mesentery. Its etiology remains unclear, but it is believed to be associated with previous abdominal surgery, trauma, autoimmune disorders, infection, or malignancy. Clinical manifestations of sclerosing mesenteritis are varied and include chronic abdominal pain, bloating, diarrhea, weight loss, formation of an intra-abdominal mass, bowel obstruction, and chylous ascites. […] Sclerosing mesenteritis is a rare condition, and patients with no clear etiology should be considered for treatment with immunosuppressive therapy. […] In patients with sclerosing mesenteritis, any condition that causes chronic inflammation of mesenteric tissue should be investigated. Antiphospholipid syndrome may be linked with chronic thrombotic activity that can contribute to chronic ischemia of the mesentery. Patients with uncertain etiology should be considered for treatment with immunosuppressive therapy.

• #42 Idiopathic sclerosing mesenteritis presenting with small bowel volvulus in a patient with antiphospholipid syndrome: A case report

  https://www.wjgnet.com/2307-8960/full/v11/i14/3304.htm

  Sclerosing mesenteritis is a chronic inflammation of the mesentery that is commonly caused by other medical conditions, including infection, autoimmune conditions, and malignancy. Symptomatic patients with unclear etiology should be considered for treatment with immunosuppressive medications. In addition, while rare, chronic thrombotic conditions can also cause sclerosing mesenteritis, and they should also be considered.

• #43 Sclerosing Mesenteritis Presenting with Small Bowel Obstruction in a Patient with Compensated Cirrhosis: A Case Report

  https://fortuneonline.org/articles/sclerosing-mesenteritis-presenting-with-small-bowel-obstruction-in-a-patient-with-compensated-cirrhosis-a-case-report.html

  Sclerosing Mesenteritis (SM) is a rare fibroinflammatory disease of unknown etiology in which intestinal obstruction results from encasement of variable lengths of bowel by a dense fibrocollagenous membrane that gives the appearance of a cocoon. […] The insidious onset of bowel obstruction symptoms in patients with even compensated cirrhosis, should include SM in the differential diagnosis. […] Diagnosis of SM is a diagnostic challenge and requires a high index of clinical suspicion. It can be facilitated by the patients history, existing predisposing factors, various biochemical parameters and radiological imaging. […] A better awareness of this rare clinical entity and the imaging findings may facilitate pre-operative diagnosis, which is critical for selecting the appropriate surgical intervention or even avoid the need for surgery and instead apply immunosuppressive drug therapy. […] Our case suggests that the insidious onset of bowel obstruction symptoms in a cirrhotic patient, even if cirrhosis is compensated and uncomplicated, should include SM in the differential diagnosis.

• #44 Sclerosing Mesenteritis Presenting with Small Bowel Obstruction in a Patient with Compensated Cirrhosis: A Case Report

  https://fortuneonline.org/articles/sclerosing-mesenteritis-presenting-with-small-bowel-obstruction-in-a-patient-with-compensated-cirrhosis-a-case-report.html

  Sclerosing Mesenteritis (SM) is a rare fibroinflammatory disease of unknown etiology in which intestinal obstruction results from encasement of variable lengths of bowel by a dense fibrocollagenous membrane that gives the appearance of a cocoon. […] The insidious onset of bowel obstruction symptoms in patients with even compensated cirrhosis, should include SM in the differential diagnosis. […] Diagnosis of SM is a diagnostic challenge and requires a high index of clinical suspicion. It can be facilitated by the patients history, existing predisposing factors, various biochemical parameters and radiological imaging. […] A better awareness of this rare clinical entity and the imaging findings may facilitate pre-operative diagnosis, which is critical for selecting the appropriate surgical intervention or even avoid the need for surgery and instead apply immunosuppressive drug therapy. […] Our case suggests that the insidious onset of bowel obstruction symptoms in a cirrhotic patient, even if cirrhosis is compensated and uncomplicated, should include SM in the differential diagnosis.

• #45 Sclerosing Mesenteritis Presenting with Small Bowel Obstruction in a Patient with Compensated Cirrhosis: A Case Report

  https://fortuneonline.org/articles/sclerosing-mesenteritis-presenting-with-small-bowel-obstruction-in-a-patient-with-compensated-cirrhosis-a-case-report.html

  Sclerosing Mesenteritis (SM) is a rare fibroinflammatory disease of unknown etiology in which intestinal obstruction results from encasement of variable lengths of bowel by a dense fibrocollagenous membrane that gives the appearance of a cocoon. […] The insidious onset of bowel obstruction symptoms in patients with even compensated cirrhosis, should include SM in the differential diagnosis. […] Diagnosis of SM is a diagnostic challenge and requires a high index of clinical suspicion. It can be facilitated by the patients history, existing predisposing factors, various biochemical parameters and radiological imaging. […] A better awareness of this rare clinical entity and the imaging findings may facilitate pre-operative diagnosis, which is critical for selecting the appropriate surgical intervention or even avoid the need for surgery and instead apply immunosuppressive drug therapy. […] Our case suggests that the insidious onset of bowel obstruction symptoms in a cirrhotic patient, even if cirrhosis is compensated and uncomplicated, should include SM in the differential diagnosis.

• #46 Sclerosing mesenteritis:an uncommon cause of chronic abdominal pain – MedCrave online

  https://medcraveonline.com/GHOA/sclerosing-mesenteritisan-uncommon-cause-of-chronic-abdominal-pain.html

  Sclerosing mesenteritis (SM), also known as mesenteric panniculitis or mesenteric lipodystrophy, is a rare disease that affects the mesentery of the small intestine. […] Asymptomatic patients typically require no treatment, while refractory cases have shown some symptomatic improvement with immunosuppressive therapy. […] Due to the rarity of the condition, there are no specific guidelines for treatment of SM however steroids, colchicine, azathioprine, thalidomide, cyclophosphamide and progesterone have been tried, however asymptomatic cases don’t need therapy. Surgical resection is recommended for non-resolving cases and complicated by bowel obstruction. […] A treatment algorithm was prepared by Akram after review on 92 cases. Asymptomatic patients with incidental diagnosis do not need treatment. Patients with features of bowel obstruction need to undergo surgical treatment followed by tamoxifen plus tapering dose of steroids if there is persistence of symptoms.

• #47 Sclerosing mesenteritis:an uncommon cause of chronic abdominal pain – MedCrave online

  https://medcraveonline.com/GHOA/sclerosing-mesenteritisan-uncommon-cause-of-chronic-abdominal-pain.html

  Our patient had surgery for repair of the hernia but not all the affected mesenteries were removed. Several months after the diagnosis, he had a comfortable life with on and off mild abdominal pain which was resolved by ibuprofen. […] Finally, SM is a rare cause of chronic abdominal pain. Though most of the cases are benign like ours, they can be associated with underlying malignancy which need to be ruled out. There are no specific guidelines for treatment of SM till date. Further studies are required to formulate specific guidelines for the treatment of SM for which our case could add value.

• #48 Mayo Clinic Proceedings Sclerosing Mesenteritis: A Concise Clinical Review for Clinicians (May 1, 2024) | Mayo Clinic School of Continuous Professional Development

  https://ce.mayo.edu/internal-medicine/content/mayo-clinic-proceedings-sclerosing-mesenteritis-concise-clinical-review-clinicians-may-1

  On completion of this article, you should be able to (1) identify risk factors for sclerosing mesenteritis (SM); (2) recognize common clinical symptoms of SM and formulate a differential diagnosis for clinically incongruent cases; and (3) develop a treatment plan for patients with SM based on the severity of symptoms, comorbidities, and/or complications. […] Successful completion of this CME activity enables the participant to earn up to 1 Medical Knowledge MOC point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. […] A certificate of attendance will be provided to other healthcare professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

• #49 Mayo Clinic Proceedings Sclerosing Mesenteritis: A Concise Clinical Review for Clinicians (May 1, 2024) | Mayo Clinic School of Continuous Professional Development

  https://ce.mayo.edu/internal-medicine/content/mayo-clinic-proceedings-sclerosing-mesenteritis-concise-clinical-review-clinicians-may-1

  On completion of this article, you should be able to (1) identify risk factors for sclerosing mesenteritis (SM); (2) recognize common clinical symptoms of SM and formulate a differential diagnosis for clinically incongruent cases; and (3) develop a treatment plan for patients with SM based on the severity of symptoms, comorbidities, and/or complications. […] Successful completion of this CME activity enables the participant to earn up to 1 Medical Knowledge MOC point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. […] A certificate of attendance will be provided to other healthcare professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

• #50 Mayo Clinic Proceedings Sclerosing Mesenteritis: A Concise Clinical Review for Clinicians (May 1, 2024) | Mayo Clinic School of Continuous Professional Development

  https://ce.mayo.edu/internal-medicine/content/mayo-clinic-proceedings-sclerosing-mesenteritis-concise-clinical-review-clinicians-may-1

  On completion of this article, you should be able to (1) identify risk factors for sclerosing mesenteritis (SM); (2) recognize common clinical symptoms of SM and formulate a differential diagnosis for clinically incongruent cases; and (3) develop a treatment plan for patients with SM based on the severity of symptoms, comorbidities, and/or complications. […] Successful completion of this CME activity enables the participant to earn up to 1 Medical Knowledge MOC point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. […] A certificate of attendance will be provided to other healthcare professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

• #51 Mayo Clinic Proceedings Sclerosing Mesenteritis: A Concise Clinical Review for Clinicians (May 1, 2024) | Mayo Clinic School of Continuous Professional Development

  https://ce.mayo.edu/internal-medicine/content/mayo-clinic-proceedings-sclerosing-mesenteritis-concise-clinical-review-clinicians-may-1

  On completion of this article, you should be able to (1) identify risk factors for sclerosing mesenteritis (SM); (2) recognize common clinical symptoms of SM and formulate a differential diagnosis for clinically incongruent cases; and (3) develop a treatment plan for patients with SM based on the severity of symptoms, comorbidities, and/or complications. […] Successful completion of this CME activity enables the participant to earn up to 1 Medical Knowledge MOC point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. […] A certificate of attendance will be provided to other healthcare professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

• #52 Sclerosing mesenteritis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/sclerosing-mesenteritis/diagnosis-treatment/drc-20450343

  Our caring team of Mayo Clinic experts can help you with your sclerosing mesenteritis-related health concerns […] If you are not experiencing discomfort from sclerosing mesenteritis, you may not need treatment. Instead, occasional imaging tests may be recommended to monitor your condition. […] If you begin to experience symptoms of sclerosing mesenteritis, you may choose to begin treatment. […] You may need surgery if the scar tissue blocks food from moving through your digestive tract.

• #53 Sclerosing Mesenteritis Managed Conservatively With Prednisone

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10040226/

  The authors present the case of a middle-aged lady with two weeks of abdominal pain. […] In our patients case, she was able to be managed conservatively, without the need for surgery. This reflects the most benign and self-limiting natural history of the disease. […] Treatment for sclerosing mesenteritis typically involves medications to manage symptoms and reduce inflammation. These can include non-steroidal anti-inflammatory drugs (NSAIDs) and immunosuppressive agents. Surgery is reserved for bowel obstruction or perforation or complicated panniculitis refractory to medical treatment. […] In many cases, where the condition is not severe, conservative treatment with observation would suffice. This was the case with our patient. A similar resolution of sclerosing mesenteritis with steroid therapy is documented in the literature. […] Our patient had a relatively benign course which did not require surgical intervention but rather was able to be managed with only steroid therapy.

• #54

  https://www.alliedacademies.org/articles/igg4related-sclerosing-mesenteritis-and-its-possible-relation-to-papillarythyroid-carcinoma-in-a-27yearold-egyptian-woman-8629.html

  Each of the care managers interventions was intended to increase patient empowerment, supporting patients to develop the confidence to effectively self-manage their health. […] Unfortunately, in this case like many others we dont have this system of care manager, social workers, actually, her husband which is a police officer did well the role of care manager. […] We recommend inclusion of IgG related sclerosis mesenteritis in every case of IgG4 recurrent abdominal pain and/or mesenteric masses. […] IgG4-RD may be associated with SM, Hashimotos thyroiditis, and papillary thyroid carcinoma. Although SM may be difficult to be diagnosed without histopathology, yet, it should be considered in any abdominal pain or mesentric mass to avoid unnecessary surgical interventions especially with good response to corticosteroids.

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