home *** CD-ROM | disk | FTP | other *** search
- $Unique_ID{BRK03999}
- $Pretitle{}
- $Title{Mesenteritis, Retractile}
- $Subject{Mesenteritis, Retractile Mesenteric Panniculitis Sclerosing
- Panniculitis Non-specific Sclerosing Mesenteritis Nodular Mesenteritis
- Weber-Christian Disease }
- $Volume{}
- $Log{}
-
- Copyright (C) 1988, 1989 National Organization for Rare Disorders, Inc.
-
- 459:
- Mesenteritis, Retractile
-
- ** IMPORTANT **
- It is possible the main title of the article (Retractile Mesenteritis) is
- not the name you expected. Please check the SYNONYMS listing on the next
- page to find alternate names, disorder subdivisions, and related disorders
- covered by this article.
-
- Synonyms
-
- Mesenteric Panniculitis
- Sclerosing Panniculitis
- Non-specific Sclerosing Mesenteritis
- Nodular Mesenteritis
-
- Information on the following disease can be found in the Related
- Disorders section of this report:
-
- Weber-Christian Disease
-
- General Discussion
-
- ** REMINDER **
- The information contained in the Rare Disease Database is provided for
- educational purposes only. It should not be used for diagnostic or treatment
- purposes. If you wish to obtain more information about this disorder, please
- contact your personal physician and/or the agencies listed in the "Resources"
- section of this report.
-
- Retractile Mesenteritis, also known as Mesenteric Panniculitis, is a
- disorder that affects the digestive tract membranes. It is characterized by
- infection, inflammation and intestinal obstructions. Major symptoms include
- abdominal pain, nausea, vomiting, weight loss, and fever.
-
- Symptoms
-
- Initial symptoms of Retractile Mesenteritis include a general feeling of ill
- health, fever, weight loss, fatigue, abdominal pain, nausea, and vomiting.
- The mesentery is a double fold of thin membrane (peritoneum) surrounding part
- of the intestines and other abdominal organs. This double layered membrane
- connects the intestines with the posterior wall of the abdominal cavity.
- Retractile Mesenteritis occurs if this connecting membrane becomes thickened,
- infiltrated with abnormal cells, fibers, or calcium infiltrated tissue
- (calcifications). Intestines may become obstructed, abnormally separated,
- kinked, or grown together.
-
- In late stages, patients may have small bowel obstruction and intestinal
- lymphatic obstruction, producing protein-losing disease of the intestinal
- tract (enteropathy), excess fat in the stools (steatorrhea), and accumulation
- of fluid in spaces between tissues and organs in the abdominal cavity
- (ascites). Since nutrients are not properly absorbed by the body, rapid
- weight loss can occur if the condition is not properly treated.
-
- Causes
-
- The exact cause of Retractile Mesenteritis is not known. The changes in
- the abdominal cavity membrane (mesentery) may be caused by infection, or
- obstructed blood flow into the membrane due to narrowing of arteries by
- spasms or other diseases.
-
- Affected Population
-
- Retractile Mesenteritis tends to affect elderly persons, and occurs in males
- more often than females.
-
- Related Disorders
-
- Symptoms of the following disorder can be similar to those of Retractile
- Mesenteritis. Comparisons may be useful for a differential diagnosis:
-
- Weber-Christian Disease is characterized by fever and the formation of
- crops of nodules in fatty tissue under the skin (subcutaneous tissue). The
- abnormal nodules may be similar to changes found in abdominal cavity membrane
- (mesentery) in patients affected by Retractile Mesenteritis. Retractile
- Mesenteritis is also called "Mesenteric Weber-Christian Disease". However,
- Weber-Christian usually affects adult women between the ages of twenty and
- forty years. (For more information on this disorder, choose "Weber-Christian"
- as your search term in the Rare Disease Database).
-
- Therapies: Standard
-
- Treatment of infection or inflammation in patients with Retractile
- Mesenteritis usually consists of the steroid drug prednisone and the
- immunosuppressant drug azathioprine. Surgery may be necessary if an
- intestinal blockage does not respond to drug treatment. Other treatment is
- symptomatic and supportive.
-
- Therapies: Investigational
-
- This disease entry is based upon medical information available through
- December 1988. Since NORD's resources are limited, it is not possible to
- keep every entry in the Rare Disease Database completely current and
- accurate. Please check with the agencies listed in the Resources section for
- the most current information about this disorder.
-
- Resources
-
- For more information on Retractile Mesenteritis, please contact
-
- National Organization for Rare Disorders (NORD)
- P.O. Box 8923
- New Fairfield, CT 06812-1783
- (203) 746-6518
-
- National Digestive Diseases Information Clearinghouse
- Box NDIC
- Bethesda, MD 20892
- (301) 468-2162
-
- References
-
- SUCCESSFUL TREATMENT OF A PATIENT WITH RETRACTILE MESENTERITIS WITH
- PREDNISONE AND AZATHIOPRINE: G.N. Tytgat, et al.; Gastroenterology (August
- 1980, issue 79(2)). Pp. 352-356.
-
- SCLEROSING MESENTERITIS. RESPONSE TO CYCLOPHOSPHAMIDE: R.W. Bush, et
- al.; Arch Intern Med (March 1986, issue 146(3)). Pp. 503-505.
-
- RETRACTILE MESENTERITIS INVOLVING THE COLON: BARIUM ENEMA, SONOGRAPHIC,
- AND CT FINDINGS: F.J. Perez-Fontan, et al.; AJR (November 1986, issue 147
- (5)). Pp. 937-940.
-
-