Bilateral pleural effusions as the first sign of mesenteric panniculitis.

BMJ Case Reports
Juliana SáJoão Silva

Abstract

A 38-year-old woman presented to the emergency department with a history of thoracic pain and anorexia for 1 week. Thoracic CT scan showed bilateral pleural effusion, a thoracentesis was performed revealing a transudate liquid with polymorphonuclears and predominance of eosinophils. After admission, the patient developed abdominal pain and the abdominal CT scan showed densification of the mesenteric fat characteristic of mesenteric panniculitis (MP). The patient went through investigation for secondary causes of panniculitis including infection, neoplasia and autoimmune diseases, and no abnormalities were found. The patient was treated with corticosteroids over a period of 3 months with complete resolution and without any signs of remission or secondary cause of MP. Moreover, the patient remained asymptomatic for 2 years after being discharged, which strengthens the diagnosis of MP that presented with eosinophilic pleural effusion.

References

May 5, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Salma AkramThomas C Smyrk
Oct 10, 2012·BMJ Case Reports·Fariba BineshMussa Ostadi
Jan 25, 2013·AJR. American Journal of Roentgenology·Patrick D McLaughlinMichael M Maher
Feb 24, 2015·Diagnostic and Interventional Imaging·N BadetÉ Delabrousse
Oct 16, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Andrea J CrossFrank A Frizelle
Nov 2, 2016·The British Journal of Surgery·P BuchwaldF Frizelle
Aug 17, 2016·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·F ScheerR Andresen
Feb 16, 2017·Clinical Journal of Gastroenterology·Prabin SharmaPaul Feuerstadt
Jan 5, 2018·The American Journal of Case Reports·Hiroshi KobayashiToshimitsu Suzuki
Oct 12, 2018·Annals of Translational Medicine·Michael S GreenHemant Goyal
Oct 15, 2018·BMJ Case Reports·Domingos SousaCatarina Jorge
Oct 26, 2018·Diagnostic Cytopathology·Badr AbdullGaffar

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