0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Sclerosing Lipogranulomatosis: Its Several Abdominal Syndromes

Edward M. Pallette, MD; Edward C. Pallette, MD; Robert W. Harrington, MD
Arch Surg. 1967;94(6):803-810. doi:10.1001/archsurg.1967.01330120057012.
Text Size: A A A
Published online

SEVERAL reports concerning chronic inflammatory infiltrations of the small bowel mesentery and retroperitoneum have been published. Xanthogranulomatous obstruction of the colon,1 sclerosing retroperitonitis with ureteral obstruction,2 and isolated mesenteric panniculitis3 would at first appear to be distinctly separate pathological entities. It is our opinion, however, that each represents a different symptom complex resulting from the same nonspecific tissue reaction.

The process seems to begin with a fatty tissue injury which results in a granulomatous cellular reaction followed by fibrosis. The resulting clinical picture is determined by the envelopment and gradual narrowing of the tubular structures that lie within the mass. Gross and microscopic descriptions of tissue obtained from patients with these several afflictions have shown consistent similarities, suggesting that clinical differences are chiefly due to location, extent, and duration of the process. We postulate that these and similar syndromes are manifestations of sclerosing lipogranulomatosis.

Report of Cases 

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();