Sclerosing Mesenteritis in a Child

Autor: JONA, JUDA Z., GLICKLICH, MARVIN, COHEN, ROGER D.
Zdroj: Archives of Surgery; June 1987, Vol. 122 Issue: 6 p735-735, 1p
Abstrakt: To the Editor.—Sclerosing mesenteritis is a rare condition of unknown origin that has been reported previously in seven children.1,2 We herein report an additional case in a child.Report of a Case.—A 5-year-old girl presented with increasing abdominal pain of seven days' duration. Her temperature was 39.2°C, and she appeared moderately ill. The abdomen was not distended. There was right-sided abdominal tenderness and fullness but no other peritoneal signs.The white blood cell count was 38 200/mm3 (38.2 × 109/L), with a severe left shift. Barium enema showed a mass on the medial wall of the ascending colon.At operation, a large amount of cloudy, foul-smelling, peritoneal fluid was noted. There was a large tumor attached to the medial (mesenteric) wall of the right colon and the hepatic flexure; it was extremely firm and adherent. The appendix and adjacent bowel appeared normal (Figure, top).
Databáze: Supplemental Index