A 44-year-old women presented with abdominal pain, diarrhea and lower abdom
inal mass. CT findings were not characteristic, and:exploratory laparotomy
revealed a mass involving the sigmoid colon with gross appearance simulatin
g malignancy. Histological examination of the resected sigmoid colon reveal
ed Mesenteric Panniculitis. Post-operatively, her symptoms dramatically imp
roved. Having reviewed the literature, this appears to be the first reporte
d case among the Saudi population.