Mesenteric Panniculitis or Sclerosing Mesenteritis

Posted by BillyMac65 @billymac65, Dec 6, 2012

I thought I would start a discussion for patients with Mesenteric Panniculitis. From what I know, this auto-immune disorder has three stages to it, each with differing names (Mesenteric Panniculitis, Schlerosing Mesenteritis, Retractile Mesenteritis). Typically, this appears to be in older individuals with some other under-lying problem (Lymphoma, tumor, diverticulitis).

I have an atypical presentation because I do not have an underlying cause. The doctors seem to be hoping for Lymphoma to appear so they can treat it and have the auto-immune go away. I am interested in hearing from others with this. I had this diagnosed in 2011, so I am interested in hearing more about what this is like to live with. I want to hear from others who also have an atypical presentation. Did is come back? Also interested in hearing from those with Lymphoma. How was the treatment? Did it address the auto-immune?

Pretty much, I am interested in hearing from anyone who has had this, so i can better understand it, and not feel so alone with this!!

Bill

Interested in more discussions like this? Go to the Digestive Health Support Group.

@adrussell

Just recently diagnosed with this condition, have ran ANA and was positive for inflammation. Had colonoscopy to rule out any tumors, diverticulitis, etc. All was good there. No waiting for more tests to be scheduled to see if there is an underlying cause. I have suffered from kidney stone for last 12 years. Actually went to er thinking I had another stone when they discovered the MP because of the enlarged lymph nodes and swelling. Anyone else suffer from this, have information they can share, etc. My family Dr. is really good about researching and referring to other Drs. when he doesn't know. Just seems there isn't much information about this condition.

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Hello @adrussell, welcome to Mayo Clinic Connect. There is another active discussion on MP where your post will have more visibility. I'm tagging our moderator @kanaazpereira to see if we should move your post to the following discussion where you can meet others with similar health symptoms and learn more about MP. You may want to read through some of the discussion below and post any questions you might have there until other members respond.

Groups > Digestive Health > Mesenteric Panniculitis or Sclerosing Mesenteritis
-- https://connect.mayoclinic.org/discussion/mesenteric-panniculitis-or-schlerosing-mesentertis-auto-immune-around-small-intestine/

The National Organization for Rare Disorders has more information on Mesenteric Panniculitis here:
-- https://rarediseases.org/rare-diseases/mesenteric-panniculitis/

Do you have any specific questions you are trying to get answered?

John

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@adrussell

Just recently diagnosed with this condition, have ran ANA and was positive for inflammation. Had colonoscopy to rule out any tumors, diverticulitis, etc. All was good there. No waiting for more tests to be scheduled to see if there is an underlying cause. I have suffered from kidney stone for last 12 years. Actually went to er thinking I had another stone when they discovered the MP because of the enlarged lymph nodes and swelling. Anyone else suffer from this, have information they can share, etc. My family Dr. is really good about researching and referring to other Drs. when he doesn't know. Just seems there isn't much information about this condition.

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Thank you John. I see where others discuss specific diets to control inflammation, more information on that would be great. Also, what other testing can be done to determine possible causes and treatments of the condition.

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@adrussell

Thank you John. I see where others discuss specific diets to control inflammation, more information on that would be great. Also, what other testing can be done to determine possible causes and treatments of the condition.

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I wished I had some answers for you but I'm hoping one of the members in the Mesenteric Panniculitis or Sclerosing Mesenteritis discussion will be able to offer some suggestions. I did find a Mayo Clinic page that discusses a related diet that I think might apply and also another page on FODMAP diets here:

The role of lifestyle-related treatments for IBS
-- https://www.mayoclinic.org/medical-professionals/digestive-diseases/news/the-role-of-lifestyle-related-treatments-for-ibs/mac-20431272

Low FODMAP Diet for IBS: List of Foods to Eat and Avoid
https://www.medicinenet.com/low_fodmap_diet_list_of_foods_to_eat_and_avoid/article.htm#fodmap_foods_for_ibs_definition_and_facts

REPLY

Just recently diagnosed with this condition, have ran ANA and was positive for inflammation. Had colonoscopy to rule out any tumors, diverticulitis, etc. All was good there. No waiting for more tests to be scheduled to see if there is an underlying cause. I have suffered from kidney stone for last 12 years. Actually went to er thinking I had another stone when they discovered the MP because of the enlarged lymph nodes and swelling. Anyone else suffer from this, have information they can share, etc. My family Dr. is really good about researching and referring to other Drs. when he doesn't know. Just seems there isn't much information about this condition.

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Hi @adrussell,

I moved your discussion and combined it with this existing discussion as I thought it would be beneficial for you to be introduced to the many members who have discussed much of what you are experiencing.
If you click on VIEW & REPLY in your email notification, you will see the whole discussion and can join in, meet, and participate with other members talking about their or their loved ones' experiences.

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@kanaazpereira

Hi @adrussell,

I moved your discussion and combined it with this existing discussion as I thought it would be beneficial for you to be introduced to the many members who have discussed much of what you are experiencing.
If you click on VIEW & REPLY in your email notification, you will see the whole discussion and can join in, meet, and participate with other members talking about their or their loved ones' experiences.

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Thank you

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@mgor

I was told two weeks ago that a CT scan without contrast done in the ER when I was there for apparent food poisoning and dehydration showed Mesenteric Panniculitis. A radiology note recommended follow up testing. I have appointment with PCP in a few more weeks. Found this discussion when looking for more info on the subject. Trying not to get too overwhelmed, so I haven’t read all the posts here yet. The acute situation has subsided especially since finishing the round of flagyl. Still having an aversion to most foods and sporadic epigastric pain and abdominal tenderness. Bowels still not normal. Extremely fatigued but back to work. I have had a long personal and family history of various autoimmune-type symptoms and diagnoses. And looking back a lot of my various health issues that I have basically just “lived with” for my 55 years could possibly be related. I want to be proactive but not overreactive. Guess I may know more in a few weeks after further testing.

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I feel your frustration. I am right there with you. I recently had the colonoscopy done to verify there was no underlying issues there causing it. All was good. My ANA blood work came back positive with inflammation so I am waiting to see what other tests the dr. wants to do to try and narrow down a more specific autoimmune disease. Other wise we are thinking that all the lithotripsy's Ive had on Kidneys is the cause however the last one I had was in June. Hang in there.

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I was diagnosed 3 weeks ago after being sick for almost 9 months.... we will be traveling from Ohio to Minnesota Jan 20 to see Dr Pardi’s colleague..... hoping for some relief. My ca 125 is 949.1 and my pain is excruciating........

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@dmaquino

I was diagnosed 3 weeks ago after being sick for almost 9 months.... we will be traveling from Ohio to Minnesota Jan 20 to see Dr Pardi’s colleague..... hoping for some relief. My ca 125 is 949.1 and my pain is excruciating........

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Hello @dmaquino

Welcome to Mayo Connect. I'm sure you are relieved to finally have a diagnosis after 9 months of pain. I'm also glad to hear that you will be seeing a doctor at Mayo.

If you are comfortable sharing more how was this diagnosed for you?

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@hopeful33250

Hello @dmaquino

Welcome to Mayo Connect. I'm sure you are relieved to finally have a diagnosis after 9 months of pain. I'm also glad to hear that you will be seeing a doctor at Mayo.

If you are comfortable sharing more how was this diagnosed for you?

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In May, I had a 10cm ovarian mass removed.... was cancerous but was contained.... I still had severe belly pain after several weeks..... my biopsies were sent to Harvard and Michigan because they were abnormal! I spent a week in the hospital June, July, and Aug with a second surgery that revealed an abscess on the outside of my colon...... treated w abx but as soon as meds stopped, pain returned.... surgeon started prednisone and referred to Cleveland Clinic for GI. Numerous invasive test all for inside of colon came back normal .... saw 2 more GI docs. No help.... I’ve had 8 ct scans since May .... saw new GI 3 weeks ago and she diagnosed from first biopsy... she said the mass had abnormal mesentery cells in it.... it also showed on all CT’s! No one really knows how to treat this from what I can see... we are being seen at Mayo fir Dr Pardi, who does see and treat this! Looking for relief as the pain is excruciating........

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