{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:46Z","timestamp":1756425826110,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,6,6]]},"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>A 38-year-old woman presented to the emergency department with a history of thoracic pain and anorexia for 1 week. Thoracic CT scan showed bilateral pleural effusion, a thoracentesis was performed revealing a transudate liquid with polymorphonuclears and predominance of eosinophils. After admission, the patient developed abdominal pain and the abdominal CT scan showed densification of the mesenteric fat characteristic of mesenteric panniculitis (MP). The patient went through investigation for secondary causes of panniculitis including infection, neoplasia and autoimmune diseases, and no abnormalities were found. The patient was treated with corticosteroids over a period of 3 months with complete resolution and without any signs of remission or secondary cause of MP. Moreover, the patient remained asymptomatic for 2 years after being discharged, which strengthens the diagnosis of MP that presented with eosinophilic pleural effusion.<\/jats:p>","DOI":"10.1136\/bcr-2019-233423","type":"journal-article","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T02:40:13Z","timestamp":1594953613000},"page":"e233423","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Bilateral pleural effusions as the first sign of mesenteric panniculitis"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8081-6493","authenticated-orcid":false,"given":"Juliana","family":"S\u00e1","sequence":"first","affiliation":[{"name":"Internal Medicine Department, Centro Hospitalar Cova da Beira EPE, Covilh\u00e3, Portugal"},{"name":"University of Beira Interior, Covilh\u00e3, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9u","family":"Evangelista","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Centro Hospitalar Cova da Beira EPE, Covilh\u00e3, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara F","family":"Jorge","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Centro Hospitalar Cova da Beira EPE, Covilh\u00e3, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o","family":"Silva","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Centro Hospitalar Cova da Beira EPE, Covilh\u00e3, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,7,16]]},"reference":[{"key":"2025082802194863000_13.7.e233423.1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.12.8493"},{"key":"2025082802194863000_13.7.e233423.2","first-page":"344","article-title":"Mesenteric panniculitis: a case report and review of the literature","volume":"7","author":"Gunduz","year":"2012","journal-title":"Maedica"},{"key":"2025082802194863000_13.7.e233423.3","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1111\/codi.13154","article-title":"Malignancy and mesenteric panniculitis","volume":"18","author":"Cross","year":"2016","journal-title":"Colorectal Dis"},{"key":"2025082802194863000_13.7.e233423.4","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1055\/s-0042-110100","article-title":"Mesenteric panniculitis (MP) in CT \u2013 a predictor of malignancy?","volume":"188","author":"Scheer","year":"2016","journal-title":"Fortschr R\u00f6ntgenstr"},{"key":"2025082802194863000_13.7.e233423.5","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":"2025082802194863000_13.7.e233423.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2007.02.032"},{"key":"2025082802194863000_13.7.e233423.7","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1002\/bjs.10229","article-title":"Cohort study of mesenteric panniculitis and its relationship to malignancy","volume":"103","author":"Buchwald","year":"2016","journal-title":"Br J Surg"},{"key":"2025082802194863000_13.7.e233423.8","doi-asserted-by":"crossref","first-page":"13","DOI":"10.12659\/AJCR.905744","article-title":"An autopsy case of mesenteric panniculitis with massive pleural effusions","volume":"19","author":"Kobayashi","year":"2018","journal-title":"Am J Case Rep"},{"key":"2025082802194863000_13.7.e233423.9","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1002\/dc.24094","article-title":"Eosinophilic effusions: a clinicocytologic study of 12 cases","volume":"46","author":"AbdullGaffar","year":"2018","journal-title":"Diagn Cytopathol"},{"key":"2025082802194863000_13.7.e233423.10","article-title":"Idiopathic eosinophilic pleural effusion treated successfully with corticosteroid therapy: a clinical case report","volume":"11","author":"Shrestha","year":"2019","journal-title":"Cureus"},{"key":"2025082802194863000_13.7.e233423.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2014.12.002"},{"key":"2025082802194863000_13.7.e233423.12","doi-asserted-by":"crossref","first-page":"336","DOI":"10.21037\/atm.2018.07.01","article-title":"Sclerosing mesenteritis: a comprehensive clinical review","volume":"6","author":"Green","year":"2018","journal-title":"Ann Transl Med"},{"key":"2025082802194863000_13.7.e233423.13","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2017-223977","article-title":"Mesenteric panniculitis: diagnostic precision","volume":"2018","author":"Sousa","year":"2018","journal-title":"BMJ Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-233423","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:20:01Z","timestamp":1756372801000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-233423"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":13,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2020,7,16]]},"published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1136\/bcr-2019-233423"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-233423","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,7]]}}}