Sclerosing mesenteritis as a cause of porto-mesenteric vascular obstruction.
Humans
Female
Panniculitis, Peritoneal
/ complications
Portal Vein
/ diagnostic imaging
Esophageal and Gastric Varices
/ etiology
Abdominal Pain
/ etiology
Mesenteric Artery, Superior
/ diagnostic imaging
Prednisolone
/ therapeutic use
Ligation
Hematemesis
/ etiology
Mesenteric Vascular Occlusion
/ etiology
Adult
Tomography, X-Ray Computed
GI bleeding
Immunology
Portal vein
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
14 Aug 2024
14 Aug 2024
Historique:
medline:
15
8
2024
pubmed:
15
8
2024
entrez:
14
8
2024
Statut:
epublish
Résumé
A woman in her 20s presented with haematemesis, post-prandial abdominal pain, weight loss and anaemia. Imaging revealed a non-enhancing mass in the retroperitoneal space along the mesenteric plane, encasing the porto-mesenteric vasculature. Endoscopy showed oesophageal varices. She was diagnosed with sclerosing mesenteritis, causing extrinsic compression of the portal vein and superior mesenteric artery. She underwent endoscopic variceal ligation and received prednisolone and tamoxifen. After 3 months, her post-prandial pain improved, and she did not have further bleeding episodes.
Identifiants
pubmed: 39142845
pii: 17/8/e260802
doi: 10.1136/bcr-2024-260802
pii:
doi:
Substances chimiques
Prednisolone
9PHQ9Y1OLM
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.