{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T03:46:34Z","timestamp":1769744794059,"version":"3.49.0"},"reference-count":14,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,6,24]]},"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>Sclerosing mesenteritis is a rare benign disease presenting with chronic inflammation of the mesenteric adipose tissue and variable degrees of fibrosis. A 47-year-old black man presented to the emergency department with symptoms of small bowel obstruction, requiring surgical treatment. The laparotomy revealed a stenosis of the distal ileum with mesenteric thickening and an enterectomy was performed. The postoperative period was complicated by the maintenance of bowel obstruction. The patient underwent a second laparotomy, in which the fibrosing process of the mesentery was much aggravated, and an ileo-colic resection was needed. After knowledge of the histological diagnosis, the patient was started on immunomodulators with clinical improvement. At 26 months of follow-up, patient is asymptomatic under medical treatment. This is the first report, to our knowledge, of a patient with progressive fibrosis in such short period of time requiring surgical re-intervention for bowel obstruction, owing to sclerosing mesenteritis.<\/jats:p>","DOI":"10.1136\/bcr-2018-229035","type":"journal-article","created":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T06:10:28Z","timestamp":1562652628000},"page":"e229035","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["A severe case of sclerosing mesenteritis"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3408-0515","authenticated-orcid":false,"given":"Sofia Costa","family":"Corado","sequence":"first","affiliation":[{"name":"Servi\u00e7o de Cirurgia, Centro Hospitalar Universit\u00e1rio de Lisboa Central, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heitor","family":"Almeida","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia, Centro Hospitalar Universit\u00e1rio de Lisboa Central, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Rodrigues","family":"Baltazar","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia, Centro Hospitalar Universit\u00e1rio de Lisboa Central, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,7,8]]},"reference":[{"key":"2025082800532729000_12.7.e229035.1","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-199704000-00004"},{"key":"2025082800532729000_12.7.e229035.2","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1007\/s12328-017-0716-5","article-title":"Sclerosing mesenteritis: a systematic review of 192 cases","volume":"10","author":"Sharma","year":"2017","journal-title":"Clin J Gastroenterol"},{"key":"2025082800532729000_12.7.e229035.3","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.174.2.1740427"},{"key":"2025082800532729000_12.7.e229035.4","first-page":"1218","article-title":"[Mesenteric lipodystrophy]","volume":"115","author":"Kuhrmeier","year":"1985","journal-title":"Schweiz Med Wochenschr"},{"key":"2025082800532729000_12.7.e229035.5","first-page":"241","article-title":"Mesenteric panniculitis. 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