Open AccessPrimary mesenteric follicular lymphoma with mesenteric panniculitis—A rare differential diagnosis of abdominal pain
Author(s) -
Liu CheYu,
Lee MingYang,
Tung ChunLiang,
Tsai KunFeng,
Chen ChiYi,
Chou ChuKuang
Publication year - 2019
Publication title -
advances in digestive medicine
Language(s) - English
Resource type - Journals
ISSN - 2351-9800
DOI - 10.1002/aid2.13154
Subject(s) - medicine , abdominal pain , differential diagnosis , follicular lymphoma , lymphoma , radiology , biopsy , pathology , surgery
Mesenteric follicular lymphoma with mesenteric panniculitis is a rare cause of abdominal pain. We present the case of a 64‐year‐old woman who had intermittent, randomly located abdominal pain for 3 months. Abdominal computed tomography revealed mesenteric panniculitis and lymphadenopathy. After laparoscopic excisional biopsy, a diagnosis of follicular lymphoma was made. Further chemotherapy effectively downsized the mesenteric lymphadenopathy, and the pain was completely resolved. Our report demonstrates a rare and important differential diagnosis of abdominal pain and the crucial role of surgical excisional biopsy to diagnose mesenteric lymphoma.