Successful treatment of retractile mesenteritis with oral progesterone

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Presentation transcript:

Successful treatment of retractile mesenteritis with oral progesterone Roberto Mazure, Pablo Fernandez Marty, Sonia Niveloni, Silvia Pedreira, Horacio Vazquez, Edgardo Smecuol, Zulema Kogan, Luis Boerr, Eduardo Mauriño, Julio C. Bai Gastroenterology Volume 114, Issue 6, Pages 1313-1317 (June 1998) DOI: 10.1016/S0016-5085(98)70438-X Copyright © 1998 American Gastroenterological Association Terms and Conditions

Fig. 1 (A) Contrast-enhanced CT scan of the abdomen showing a solid heterogeneous mass (arrows) with low-density areas involving the root of the mesentery. (B) Follow-up CT scan after 6 months of progesterone therapy with a complete regression of the mesenteric mass. Gastroenterology 1998 114, 1313-1317DOI: (10.1016/S0016-5085(98)70438-X) Copyright © 1998 American Gastroenterological Association Terms and Conditions

Fig. 1 (A) Contrast-enhanced CT scan of the abdomen showing a solid heterogeneous mass (arrows) with low-density areas involving the root of the mesentery. (B) Follow-up CT scan after 6 months of progesterone therapy with a complete regression of the mesenteric mass. Gastroenterology 1998 114, 1313-1317DOI: (10.1016/S0016-5085(98)70438-X) Copyright © 1998 American Gastroenterological Association Terms and Conditions

Fig. 2 (A) Gross surgical specimen showing a segment of the small intestine with several fibrotic stenosis and interposed dilated segments. (B) Open specimen with the stenosis and dilations. Gastroenterology 1998 114, 1313-1317DOI: (10.1016/S0016-5085(98)70438-X) Copyright © 1998 American Gastroenterological Association Terms and Conditions

Fig. 3 (A) Histological examinations of the resected specimen showing a diffuse sclerosis of the mesentery with isolate deposits of adipose tissue and arterial vessels (trichromic Somogyi staining; original magnification ×100). (B) Examination of the mucosa in the resected specimen shows a deep ulcer with nonspecific inflammatory infiltration. Villi are shorter and wider and present an increased mononuclear cellularity in the lamina propia (H&E; original magnification ×100). Gastroenterology 1998 114, 1313-1317DOI: (10.1016/S0016-5085(98)70438-X) Copyright © 1998 American Gastroenterological Association Terms and Conditions