• Der Internist · Nov 2021

    Case Reports

    [Motility disorder and weight loss in a 71-year-old male patient].

    • Dominique Eichstädt, Hakan Kopdag, Cary MacMillan, Lars Marcus Stiedenroth, Florian Viehweger, and von WichertGötzGAbteilung für Innere Medizin, Schön Klinik Hamburg Eilbek, Dehnhaide 120, 22081, Hamburg, Deutschland..
    • Abteilung für Innere Medizin, Schön Klinik Hamburg Eilbek, Dehnhaide 120, 22081, Hamburg, Deutschland. deichstaedt@schoen-kliniken.de.
    • Internist (Berl). 2021 Nov 1; 62 (11): 1237-1242.

    AbstractA 71-year-old man presented to this clinic for evaluation of an unclear abdominal tumor. He complained of abdominal pain, weight loss and motility disorders, which began some weeks previously. Ultrasound and computed tomography (CT) scans showed a large mesenterial space-occupying lesion with accompanying lymphadenopathy, slight accumulation of ascites and venous congestion. For confirmation of the suspected diagnosis of a sclerosing mesenteritis and exclusion of a lymphoma a laparoscopy was carried out with excision of tissue. The material was not adequately representative so that a laparotomy was carried out for removal of a new tissue specimen. The tissue specimen confirmed the rare diagnosis of sclerosing mesenteritis and due to the complaints a pharmaceutical treatment with prednisone and tamoxifen was initiated.© 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

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