Retroperitoneal Panniculitis Mimicking High Intestinal Obstruction in a Young Female: A Case Report

This case report examines retroperitoneal panniculitis in a 20-year-old female. The patient was presented with a history of epigastric discomfort for five days, vomiting after meals, fever, and abdominal bloating. Clinical examination revealed intestinal obstruction. Laboratory workup revealed high leukocytosis, raised urea, liver enzyme abnormality, and deranged coagulation. Diagnostic evaluation, including histopathology, confirmed retroperitoneal panniculitis. Surgical excision was performed, and postoperative treatment with corticosteroids was initiated. This case underscores the importance of considering retroperitoneal panniculitis in the differential diagnosis of patients with acute abdomen and bowel obstruction.