Mesenteric Lymphadenitis and the Acute Abdomen

Adams, William E.; Olney, Mary B.

doi:10.1097/00000658-193803000-00004

Cited by 15 publications

(6 citation statements)

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“…At that time, a definite diagnosis of mesenteric lymphadenitis was very difficult to make before surgery [ 5 ]. Unsurprisingly, it was stated that “acute mesenteric lymphadenitis is almost invariably confused with acute appendicitis” and that “there is hardly an abdominal condition for which laparotomy is commonly performed that may not be simulated by diseased mesenteric glands” [ 6 ]. Initially, surgical management of mesenteric lymphadenitis with appendectomy was advised by some.…”

Section: Historymentioning

confidence: 99%

“…Initially, surgical management of mesenteric lymphadenitis with appendectomy was advised by some. Very soon, however, it was recognized that there is no reason to believe that appendectomy affects the disease course, which in any case is self-limiting and from which ultimate recovery seems to be invariable [ 5 , 6 ]. Many physicians currently consider mesenteric lymphadenitis a nondisease and its symptoms unexplained.…”

Section: Historymentioning

confidence: 99%

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Acute Nonspecific Mesenteric Lymphadenitis: More Than “No Need for Surgery”

Helbling

Conficconi

Wyttenbach

et al. 2017

BioMed Research International

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Acute nonspecific, or primary, mesenteric lymphadenitis is a self-limiting inflammatory condition affecting the mesenteric lymph nodes, whose presentation mimics appendicitis or intussusception. It typically occurs in children, adolescents, and young adults. White blood count and C-reactive protein are of limited usefulness in distinguishing between patients with and without mesenteric lymphadenitis. Ultrasonography, the mainstay of diagnosis, discloses 3 or more mesenteric lymph nodes with a short-axis diameter of 8 mm or more without any identifiable underlying inflammatory process. Once the diagnosis is established, supportive care including hydration and pain medication is advised. Furthermore, it is crucial to reassure patients and families by explaining the condition and stating that affected patients recover completely without residuals within 2–4 weeks.

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Section: Historymentioning

confidence: 99%

Section: Historymentioning

confidence: 99%

Acute Nonspecific Mesenteric Lymphadenitis: More Than “No Need for Surgery”

Helbling

Conficconi

Wyttenbach

et al. 2017

BioMed Research International

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“…[2] Mesenteric lymphadenopathy was thought to be due to tuberculosis in the earlier days and with advancements in newer diagnostic methods, other organisms were also found to be etiologically equal or more important. [3] The association of abdominal pain and upper respiratory tract infections in children was suggested by Brenneman as well as by Goldberg and Nathanson. [4,5] Mesenteric lymphadenitis is often associated with adenoviral infection and adenovirus is one of the most common cause of tonsillitis.…”

Section: Introductionmentioning

confidence: 99%

Non-Specific Mesenteric Lymphadenitis and Cervical Lymphadenopathy in Pediatric Age Group – A Correlative Study

Murthy

Raman

2018

AJMRR

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Background: The aim of the study is to assess the correlation between non-specific mesenteric lymphadenitis in children with cervical lymphadenopathy. Subjects and Methods: Total of 172 cases with Ultrasound features of non-specific mesenteric lymphadenitis reported in Department of Radiology, JSS medical college hospital, Mysore during the period of October 2016 & July 2018 were included in the study and correlated with Ultrasound of the neck. The clinical profile and attributed causes of these cases were correlated and evaluated. Results: Out of 172 cases, 60.5% of cases presented with pain abdomen being the most common symptom. Upper respiratory symptoms were noted in 37.2% of cases, diarrhea in 6.4% cases, urinary tract symptoms in 3.5% and fever in 18.6% of cases. Cervical adenopathy was noted in 72 cases (41.9%) of total cases out of which 55 cases had signs of upper respiratory tract infection. Conclusion: Ultrasound diagnosis of non specific mesenteric lymphadenitis is important to differentiate it from other causes of pain abdomen. Upper respiratory tract infection is one of the most common causes of non specific mesenteric adenitis and is associated with cervical adenopathy.

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“…William, et al has reported 13 cases of mesenteric lymphadenitis presenting as acute abdomen out of which 8 cases were operated, in the remaining 5 cases, a presumptive diagnosis of mesenteric lymphadenitis was made in view of previous experience. 2 It was analyzed that pain abdomen was the most common complaint in children 59.6% of cases with mesenteric lymphadenitis in our study, followed by cough/cold, loose stools, vomiting, nausea and fever. Sikorska et al has showed that pain abdomen was seen in 49.6% of cases, 6.3% presented as generalized lymphadenopathy, rest as vomiting and fever.…”

Section: Discussionmentioning

confidence: 58%

“…With development of mantoux test and improvement in culture methods, there accumulated cases with negative tuberculin reactions, having pyogenic organisms in enlarged nodes. 2 Brenneman pointed out the association of abdominal pain with upper respiratory tract infections in children. 3 Goldberg and Nathanson presented an excellent study of this condition.…”

Section: Introductionmentioning

confidence: 99%