LIPOSCLEROTIC mesenteritis (mesenteric panniculitis) is uncommonly reported. Yet both Ogden et al1,2 and Grossman et al3 are of the opinion that it occurs more frequently than has hitherto been documented. Recently a patient with typical clinical and pathologic features of this entity was found and treated by the surgical service of the Greenpoint Hospital. It is felt worthwhile to report this case, and thus, again call attention to its recognition.
Report of Case
A 30-year-old white man entered the hospital because of nausea, postprandial vomiting, and diffuse abdominal pain of two weeks' duration. Vomitus consisted of preingested food. Except for mild anorexia, the patient was otherwise asymptomatic between meals. The diffuse colicky abdominal pain occurred intermittently but was not related to eating. Except for constipation of two days' duration, the patient denied further gastrointestinal symptoms. He did experience a similar episode two years ago, that subsided spontaneously.Examination