Mesenteric fat necrosis after recent surgery causing bowel obstruction: a case report and review of the literature
Mesenteric fat necrosis causing bowel obstruction is a rare occurrence with only one case reported in humans. It is due to accidental or surgical trauma to the adipose tissue with extracellular liberation of fat or enzymatic lysis of fat due to the release of lipases resulting in fibrosis. Preoperat...
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| Veröffentlicht in: | Journal of postgraduate medicine 2012-01, Vol.58 (1), p.54-56 |
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| creator | Green, B R Reddy, A Jha, M |
| description | Mesenteric fat necrosis causing bowel obstruction is a rare occurrence with only one case reported in humans. It is due to accidental or surgical trauma to the adipose tissue with extracellular liberation of fat or enzymatic lysis of fat due to the release of lipases resulting in fibrosis. Preoperative imaging may often be misleading and fail to identify fat necrosis as the cause of bowel obstruction. As surgical intervention is the only suitable treatment option in cases of failed conservative treatment, the diagnosis is made postoperatively. There is no published advice on the management of mesenteric fat necrosis. We recommend safe operating techniques to minimize the risk of developing fat necrosis and its potential harmful consequences. |
| doi_str_mv | 10.4103/0022-3859.93253 |
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It is due to accidental or surgical trauma to the adipose tissue with extracellular liberation of fat or enzymatic lysis of fat due to the release of lipases resulting in fibrosis. Preoperative imaging may often be misleading and fail to identify fat necrosis as the cause of bowel obstruction. As surgical intervention is the only suitable treatment option in cases of failed conservative treatment, the diagnosis is made postoperatively. There is no published advice on the management of mesenteric fat necrosis. We recommend safe operating techniques to minimize the risk of developing fat necrosis and its potential harmful consequences.</description><identifier>ISSN: 0022-3859</identifier><identifier>EISSN: 0972-2823</identifier><identifier>DOI: 10.4103/0022-3859.93253</identifier><identifier>PMID: 22387649</identifier><language>eng</language><publisher>India: Medknow Publications and Media Pvt. Ltd</publisher><subject>Abdomen ; Abdominal Pain - etiology ; Adenocarcinoma, Mucinous - pathology ; Adenocarcinoma, Mucinous - surgery ; Aged ; CT imaging ; Digestive System Surgical Procedures - adverse effects ; Fat Necrosis - complications ; Fat Necrosis - diagnostic imaging ; Fat Necrosis - etiology ; Female ; Health aspects ; Humans ; Intestinal Obstruction - diagnostic imaging ; Intestinal Obstruction - etiology ; Intestines ; Medical imaging ; Mesentery - diagnostic imaging ; Obstructions ; Ostomy ; Peritoneal Diseases - complications ; Peritoneal Diseases - diagnostic imaging ; Postoperative Complications ; Surgical apparatus & instruments ; Tomography, X-Ray Computed</subject><ispartof>Journal of postgraduate medicine, 2012-01, Vol.58 (1), p.54-56</ispartof><rights>COPYRIGHT 2012 Medknow Publications and Media Pvt. 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It is due to accidental or surgical trauma to the adipose tissue with extracellular liberation of fat or enzymatic lysis of fat due to the release of lipases resulting in fibrosis. Preoperative imaging may often be misleading and fail to identify fat necrosis as the cause of bowel obstruction. As surgical intervention is the only suitable treatment option in cases of failed conservative treatment, the diagnosis is made postoperatively. There is no published advice on the management of mesenteric fat necrosis. We recommend safe operating techniques to minimize the risk of developing fat necrosis and its potential harmful consequences.</description><subject>Abdomen</subject><subject>Abdominal Pain - etiology</subject><subject>Adenocarcinoma, Mucinous - pathology</subject><subject>Adenocarcinoma, Mucinous - surgery</subject><subject>Aged</subject><subject>CT imaging</subject><subject>Digestive System Surgical Procedures - adverse effects</subject><subject>Fat Necrosis - complications</subject><subject>Fat Necrosis - diagnostic imaging</subject><subject>Fat Necrosis - etiology</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Intestinal Obstruction - diagnostic imaging</subject><subject>Intestinal Obstruction - etiology</subject><subject>Intestines</subject><subject>Medical imaging</subject><subject>Mesentery - diagnostic imaging</subject><subject>Obstructions</subject><subject>Ostomy</subject><subject>Peritoneal Diseases - complications</subject><subject>Peritoneal Diseases - diagnostic imaging</subject><subject>Postoperative Complications</subject><subject>Surgical apparatus & instruments</subject><subject>Tomography, X-Ray Computed</subject><issn>0022-3859</issn><issn>0972-2823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkc9PHCEUx0ljU6169maIPc_Kj5kBvBljrYmml_ZMGOaxYmZhBUbjf1_WVZMmGw68vO_n-8jji9AJJYuWEn5OCGMNl51aKM46_gUdECVYwyTje7X-UPfR95wfCaF93_JvaJ8xLkXfqgOU7iFDKJC8xc4UHMCmmH3GxtUmTmCrivOclpBesTVz9mGJh_gCE45DLmm2xcdwgU0VM1TDOqaCTRhr-ezhBUeHywPgydd5pswJjtBXZ6YMx-_3Ifr78_rP1a_m7vfN7dXlXWNbxkszOkLpoAbGVd9BZykRfdexTrVCUiccUGcJEAeSWUPGQQohWzkCSCPlIBg_RGfbuesUn2bIRT_GOYX6pFYtkZITJiv0YwstzQTaBxdLMnbls9WXTLZUCcJUpZod1BJCXWmKAZyv7f_4xQ6-nhFW3u40nG8Nm9_PCZxeJ78y6VVTojdJ602WepOlfku6Ok7ft5uHFYyf_Ee0_B9FqqJ2</recordid><startdate>201201</startdate><enddate>201201</enddate><creator>Green, B R</creator><creator>Reddy, A</creator><creator>Jha, M</creator><general>Medknow Publications and Media Pvt. 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etiology</topic><topic>Adenocarcinoma, Mucinous - pathology</topic><topic>Adenocarcinoma, Mucinous - surgery</topic><topic>Aged</topic><topic>CT imaging</topic><topic>Digestive System Surgical Procedures - adverse effects</topic><topic>Fat Necrosis - complications</topic><topic>Fat Necrosis - diagnostic imaging</topic><topic>Fat Necrosis - etiology</topic><topic>Female</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Intestinal Obstruction - diagnostic imaging</topic><topic>Intestinal Obstruction - etiology</topic><topic>Intestines</topic><topic>Medical imaging</topic><topic>Mesentery - diagnostic imaging</topic><topic>Obstructions</topic><topic>Ostomy</topic><topic>Peritoneal Diseases - complications</topic><topic>Peritoneal Diseases - diagnostic imaging</topic><topic>Postoperative Complications</topic><topic>Surgical apparatus & instruments</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Green, B R</creatorcontrib><creatorcontrib>Reddy, A</creatorcontrib><creatorcontrib>Jha, M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Journal of postgraduate medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Green, B R</au><au>Reddy, A</au><au>Jha, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mesenteric fat necrosis after recent surgery causing bowel obstruction: a case report and review of the literature</atitle><jtitle>Journal of postgraduate medicine</jtitle><addtitle>J Postgrad Med</addtitle><date>2012-01</date><risdate>2012</risdate><volume>58</volume><issue>1</issue><spage>54</spage><epage>56</epage><pages>54-56</pages><issn>0022-3859</issn><eissn>0972-2823</eissn><abstract>Mesenteric fat necrosis causing bowel obstruction is a rare occurrence with only one case reported in humans. It is due to accidental or surgical trauma to the adipose tissue with extracellular liberation of fat or enzymatic lysis of fat due to the release of lipases resulting in fibrosis. Preoperative imaging may often be misleading and fail to identify fat necrosis as the cause of bowel obstruction. As surgical intervention is the only suitable treatment option in cases of failed conservative treatment, the diagnosis is made postoperatively. There is no published advice on the management of mesenteric fat necrosis. We recommend safe operating techniques to minimize the risk of developing fat necrosis and its potential harmful consequences.</abstract><cop>India</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>22387649</pmid><doi>10.4103/0022-3859.93253</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Abdominal Pain - etiology Adenocarcinoma, Mucinous - pathology Adenocarcinoma, Mucinous - surgery Aged CT imaging Digestive System Surgical Procedures - adverse effects Fat Necrosis - complications Fat Necrosis - diagnostic imaging Fat Necrosis - etiology Female Health aspects Humans Intestinal Obstruction - diagnostic imaging Intestinal Obstruction - etiology Intestines Medical imaging Mesentery - diagnostic imaging Obstructions Ostomy Peritoneal Diseases - complications Peritoneal Diseases - diagnostic imaging Postoperative Complications Surgical apparatus & instruments Tomography, X-Ray Computed |
| title | Mesenteric fat necrosis after recent surgery causing bowel obstruction: a case report and review of the literature |
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