An unusual presentation of sclerosing mesenteritis as pneumoperitoneum: Case report with a review of the literature

Table 1 Various nomenclature used to describe this condition[35–7]

Sclerosing mesenteritis1	Xanthogranulomatous mesenteritis
Retractile mesenteritis	Mesenteric lipogranuloma
Liposclerotic mesenteritis	Systemic nodular panniculitis
Mesenteric weber-christian disease

¹Preferred terminology.

Table 2 Association with other idiopathic inflammatory disorders[1–9]

Retroperitoneal fibrosis	Sclerosing cholangitis
Riedel thyroiditis	Sclerosing mediastinitis
Orbital pseudotumor	Desmoplastic metastatic carcinoma
Whipple disease	Sarcoma
Mesenteric fibromatosis (intra-abdominal desmoid tumour)

Table 3 Different stages of disease and treatment[1–3571315]

Stage of disease	Predominant histological feature	Preferred terminology	Treatment
Early stages	Fat necrosis	Mesenteric lipodystrophy	None
Intermediate stages	Inflammation	Mesenteric panniculitis	Immunosup-pressants[1819]
			Colchicine[320]
			Tamoxifen[2]
			Corticosteroids[31920]
			Progesterones[221]
Final stages	Fibrosis	Sclerosing or retractile mesenteritis	Surgery (where indicated)