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Summary
A 53-year-old black woman presented with a 3-day history of abdominal pain. Ultrasound of the abdomen showed a gall bladder packed with small stones. She gave a history of abdominal surgery for a gynaecological condition. She had a cholecystectomy done, but her symptoms continued after cholecystectomy. She then had anendoscopic retrograde cholangiopancreatogram (ERCP) and sphincterotomy done, again her symptoms remained the same. A CT scan of the abdomen was done, and mesenteric panniculitis was suspected. A laparoscopic biopsy of the mesentery was performed, and it confirmed mesenteric panniculitis. She was started on a 2-week course of steroids to which she responded very well. Three months after the initial presentation, she was still asymptomatic.
- Gastrointestinal System
- Biliary Intervention
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Footnotes
Contributors MK was responsible for the conception and design, planning, reporting and acquisition of patient data. AE and KM were responsible for the planning and collecting of data.
Competing interests None declared.
Patient consent Obtained and correct
Provenance and peer review Not commissioned; externally peer reviewed.