Mesenteritis retráctil: comunicación de cuatro casos / Retractile mesenteritis: report of 4 cases

ABSTRACT

Retractile mesenteritis is a rare condition in which the inflammation proces of the mesentery is the characteristic pathological. The histologic changes are variable proportions of fat necrosis, chronic inflammation and fibrosis. The clinical presentation of this process is diverse, also the natural history is variable, ranging from a benign to fatal disease. We reviewed 4 cases of retractile mesenteritis and evaluated the clinical manifestations. There was no gender predominance. The patients aged range was 63-69 years (average 65) Patients more often presented with abdiminal mass (cases n 1 and n 4), and chronic diarrhea (cases n 1 and 3). The etiology is unknown, the treatment is empirical, including corticosteroids, colchicine, immunosuppressive drugs and oral progesterone