CASE REPORTS

Retractile Mesenteritis Presenting with Malabsorption Syndrome. Successful Treatment with Oral Pentoxifylline

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Andreas N. Kapsoritakis1, Christos D. Rizos1, Stylianos Delikoukos2, Despina Kyriakou3, Georgios K. Koukoulis4, Spyros P. Potamianos1

Departments of
1) Gastroenterology,
2) Surgery,
3) Internal Medicine and
4) Pathology, University of Thessaly, School of Medicine, Larissa, Greece


Abstract

Retractile mesenteritis is a rare benign inflammatory disease of the mesentery. Computed tomographic findings usually suggest the diagnosis, which is confirmed by surgical biopsies. Conservative treatment is empirical, based on corticosteroids, colchicine, immunosuppressive agents and progesterone. Surgical resection is sometimes attempted for definitive therapy, although the surgical approach is often limited. This report describes a 62-year old man with histologically proven retractile mesenteritis presenting with malabsorbtion syndrome, who presented pulmonary tuberculosis after initial therapy with corticosteroids. He was subsequently treated with oral pentoxifylline (800 mg/day), with substantial clinical and radiological improvement.

Key words

Retractile mesenteritis - malabsorption syndrome - pentoxifylline