|Description||Sclerosing mesenteritis falls within a spectrum of primary idiopathic inflammatory and fibrotic processes that affect the mesentery. The exact etiology has not been determined, although
the following associations have been noted: abdominal surgery, trauma, autoimmunity,
paraneoplastic syndrome, ischemia and infection. Progression of sclerosing mesentritis can
lead to bowel obstruction, a rare complication of this uncommon condition. We report a case
of a 66-year-old female with abdominal pain who was noted to have a small bowel obstruction requiring laparotomy and a partial small bowel resection. The pathology of the resected
tissue was consistent with sclerosing mesenteritis, a rare cause of a small bowel obstruction.
Sclerosing mesenteritis has variable rates of progression, and there is no consensus regarding the optimal treatment. Physicians should consider sclerosing mesenteritis in the differential diagnosis of a small bowel obstruction.||en_US