A 55-year-old man with abdominal pain and fever

A 55-year-old man was admitted for evaluation of chronic abdominal pain and fever. Computed tomography demonstrated a retroperitoneal inflammatory process involving the mesenteric root. Adipose tissue biopsy showed panniculitis mesenterica with granulomas. Further examinations confirmed the diagnosi...

Full description

Saved in:
Bibliographic Details
Published in:Der Internist (Berlin) 2013-10, Vol.54 (10), p.1256
Main Authors: Hahnel, A, Zitzler, N, Schardt, K, Gnewuch, C, Karrasch, T, Schulze, J, Peters, V, Müller, M, Schäffler, A
Format: Article
Language:ger
Subjects:
Abdominal Pain - diagnosis
Abdominal Pain - etiology
Abdominal Pain - prevention & control
Anti-Inflammatory Agents - therapeutic use
Diagnosis, Differential
Fever of Unknown Origin - diagnosis
Fever of Unknown Origin - etiology
Fever of Unknown Origin - prevention & control
Humans
Male
Middle Aged
Peritoneal Neoplasms - complications
Peritoneal Neoplasms - diagnosis
Peritoneal Neoplasms - drug therapy
Plasmacytoma - complications
Plasmacytoma - diagnosis
Plasmacytoma - drug therapy
Prednisolone - therapeutic use
Treatment Outcome
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 55-year-old man was admitted for evaluation of chronic abdominal pain and fever. Computed tomography demonstrated a retroperitoneal inflammatory process involving the mesenteric root. Adipose tissue biopsy showed panniculitis mesenterica with granulomas. Further examinations confirmed the diagnosis of plasmocytoma type IgG kappa. Treatment with steroids (prednisolone), resulted in immediate improvement of pain and fever. Mesenteric panniculitis represents a paraneoplastic syndrome associated with non-Hodgkin lymphoma.
ISSN:1432-1289
DOI:10.1007/s00108-013-3370-0