Mesenteritis is an uncommon condition characterized by a variable clinical course, in which spontaneous remission to uncontrollable disease activity leads to death.
We describe a construction worker with mesenteritis who presented with vague abdominal discomfort and mucoid diarrhoea.
A large, irregular mass was found in the abdomen.
Upon explorative laparotomy, a large, rubbery, grey and yellow, irresectable tumorous mass was found, which apparently originated from the mesentery of the small bowel.
The large bowel was expanded over the tumorous mass.
A defunctioning colostomy was made.
Histologic examination of biopsy specimens revealed only fatty necrosis of the mesentery and no evidence of malignancy.
It is assumed that a pseudotumour of the mesentery had developed after chronic repetitive abdominal trauma caused by the continuous vibration of a pneumatic jackhammer, on which the patient pressed his abdomen during construction work.
In this case of mesenteritis, the clinical course was one of spontaneous and complete recovery.
Mots-clés Pascal : Traumatisme, Abdomen, Répétition, Complication, Mésentérite liposcléreuse, Exposition professionnelle, Etude cas, Homme, Pseudotumeur, Intestin pathologie, Appareil digestif pathologie, Médecine travail
Mots-clés Pascal anglais : Trauma, Abdomen, Repetition, Complication, Mesenteric panniculitis, Occupational exposure, Case study, Human, Pseudotumor, Intestinal disease, Digestive diseases, Occupational medicine
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0541723
Code Inist : 002B16G. Création : 01/03/1996.