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Войти в исследования European journal of gastroenterology & hepatology · 1995
Protein-losing enteropathy: first manifestation of sclerosing mesenteritis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Höring E, Hingerl T, Hens K, von Gaisberg U, Kieninger G
Аннотация
OBJECTIVE: To report the case of an unusual form of protein-losing enteropathy.
PATIENT: A 54-year-old patient with hypoechoic tumours resembling lipomas in the mesentery.
INTERVENTIONS: Following examination by ultrasound and computed tomography, the well-known intestinal and extra-intestinal forms of protein-losing enteropathy were excluded and a diagnostic laparotomy was performed. The whole mesentery was infiltrated by a large unresectable tumour. Histological examination showed that it was a sclerosing mesenteritis.
MAIN OUTCOME MEASURES: Steroid therapy dramatically improved the protein-losing enteropathy.
CONCLUSION: Pathogenically, the enteropathy may be interpreted as the result of disturbed lymphatic drainage caused by the sclerosed mesentery.
PATIENT: A 54-year-old patient with hypoechoic tumours resembling lipomas in the mesentery.
INTERVENTIONS: Following examination by ultrasound and computed tomography, the well-known intestinal and extra-intestinal forms of protein-losing enteropathy were excluded and a diagnostic laparotomy was performed. The whole mesentery was infiltrated by a large unresectable tumour. Histological examination showed that it was a sclerosing mesenteritis.
MAIN OUTCOME MEASURES: Steroid therapy dramatically improved the protein-losing enteropathy.
CONCLUSION: Pathogenically, the enteropathy may be interpreted as the result of disturbed lymphatic drainage caused by the sclerosed mesentery.