Non-Specific Mesenteric Lymphadenitis in Children (Literature Review)

Сологуб, Эльмира Абдулкадировна; Карасева, О. В.; Тимофеева, А. Г.

doi:10.15690/pf.v10i1.585

Cited by 4 publications

(5 citation statements)

References 25 publications

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“…6,9,10 A variety of clinicopathological, etiological and temporal classifications have been devised that are thought stimulating to understand if a relatable classification can be followed for Nepalese children as well. 6,7,9 Instead, a part of the spectrum was observed in our study based on which a unique classification was devised. In keeping with few studies, we identified, acute non specific mesenteric adenitis to be a disease of preschool children (≤ 6 years) with a male predominance (M: F=2.8:1).…”

Section: Discussionmentioning

confidence: 93%

“…[2][3][4] Often considered, the most frequent clinical mask of acute appendicitis, mesenteric adenitis can mimic a variety of conditions including intussusceptions and gastroenteritis. [5][6][7] From earliest considerations that included tuberculosis as an etiological factor to a routinely recommended appendectomy, much seems to have evolved in its management now that a definitive pre-operative diagnosis is possible in most situations. 6,8 Even the nodal size used earlier has been largely seeded by the current size criteria on ultrasound as a reference guide to diagnosis in order to avoid false positivity of findings.…”

Section: Discussionmentioning

confidence: 99%

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Childhood Mesenteric Adenitis -The Spectrum of Findings

Shrestha

Adhikari

2021

Kathmandu Univ. Med. J.

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Background Mesenteric adenitis in children (≤ 18 years) can present with varied findings often causing a diagnostic confusion. In children, considering the inadequacies in history and physical examination, an accurate clinic-radiological diagnosis backed up with laboratory data as indicated becomes important to avoid misdiagnosis and futile interventions. Objective To study the profile of children evaluated for acute abdominal pain and diagnosed as mesenteric adenitis. Method A retrospective review of children with abdominal symptoms, diagnosed to have mesenteric adenitis between January 2018 and December 2020. Result A total of 85 patients (63 males, 22 females) were identified presenting at mean age of 6 years (range 4 months-16 years). Primary Mesenteric Adenitis (PA) was found in 62, Secondary Mesenteric Adenitis (SA) in 11 and Complicated Primary Mesenteric Adenitis (CPA) was identified in 12. All with PA responded well to supportive care. Those with SA were treated for the primary cause and the ones with Complicated Primary Mesenteric Adenitis were managed by treating the complication. All had a favorable outcome. Conclusion When managing a child with abdominal pain, mesenteric adenitis should be considered. Once clinically suspected, tailored management approach results in fruitful outcome.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Childhood Mesenteric Adenitis -The Spectrum of Findings

Shrestha

Adhikari

2021

Kathmandu Univ. Med. J.

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“…Слизистая оболочка тонкой кишки у детей относительно хорошо развита, имеет большое количество ворсинок, развитую сеть кровеносных и лимфатических капилляров большого диаметра, обладает повышенной проницаемостью и высокой всасываю щей способностью. Повышенная проницаемость слизистой определяет наличие определенных ограничений в выполнении барьерной функции [2]. Лимфатические капилляры, начинаясь от верхушек ворсинок слизистой оболочки, ветвятся, образуют петлистые сплетения, увеличиваясь в диаметре у брыжеечного края кишки.…”

Section: анатомо-физиологические особенности кишечника у детейunclassified

“…), в ряде исследований мезаденит представлялся как неспецифическое поражение лимфоузлов (Бобров А.А., 1899 г., Бородулин Г.И., 1903 г., Bertien, 1909) г. [1,2].…”

Section: Introductionunclassified

A modern view on the differential diagnosis of ultrasound characteristics of lymph nodes in mesadenitis in children

Nikitin,

Guseva,

Kartseva

et al. 2023

Medicinskij sovet

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Mesadenitis (mesenteric lymphadenitis, mesenteritis) is a common cause of acute abdominal pain syndrome in children. At the same time, the cause of acute mesadenitis is far from being established in all cases. Diagnosis of mesenteric lymphadenitis presents a certain problem. Differential diagnosis is always carried out with acute surgical diseases of the abdominal cavity, primarily with acute appendicitis. Special attention is paid to ultrasound examination in the diagnosis of mesadenitis. Given the absence of statistically proven diagnostic criteria for changes in abdominal lymph nodes in mesadenitis, it is relevant to determine their ultrasound characteristics. The article is presented in the form of a lecture for practicing pediatricians based on a literature review. The characteristics of mesentery lymph nodes in various pathological processes are collected from various sources. The features of ultrasound characteristics of mesenteric lymph nodes in normal and acute mesadenitis with herpes infection, coronavirus infection, tuberculosis, as well as features of lymph nodes with lymphogranuloma are presented. A table has been developed that indicates such characteristics as the shape, number of lymph nodes in the section, echogenicity, blood flow status, capsule, contour, as well as additional characteristics in some conditions (such as the tendency to form conglomerates or the presence of calcinates in the structure of lymph nodes in tuberculosis lesions). A detailed description of the lymph nodes makes it possible to conduct a preliminary differential diagnosis of mesadenitis using ultrasound, which makes it possible to determine the vector of further diagnostic search in children with acute abdominal syndrome, and then to select pathogenetically justified therapeutic tactics and preventive measures.

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“…Жданов заведовал 4 года, и в 1947 г. был назначен ректором Ленинградского санитарно-гигиенического медицинского института и одновременно заведующим кафедрой нормальной анатомии [7]. Вместе с новым коллективом Дмитрий Аркадьевич продолжил изучение лимфатической системы, обратив особое внимание на микро-и макростроение лимфатического русла, а также на его физиологические особенности [8,9]. Результаты проведенных многолетних исследований он обобщил в монографии «Общая анатомия и физиология лимфатической системы», которая хорошо была принята лимфологами, анатомами, физиологами и клиницистами [10].…”

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Dmitry A. Zhdanov ― the Founder of the Functional Anatomy of the Lymphatic System (to the 110th Birth Anniversary)

Nikolenko¹,

Kudryashova²,

Oganesyan³

et al. 2018

Annals RAMS

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D.A. Zhdanov is the eminent member of Russian anatomy school, member of the USSR Academy of Medical Sciences, great lymphologist, talented master and wise mentor whose 110th jubilee is held this year. Having introduced completely new way of teaching and learning anatomy, Zhdanov expanded knowledge of functions and structure of lymphatic system, presented new information unknown before and determined direction of further studies for his disciples. Being the founder of functional anatomy of the lymphatic system, D.A. Zhdanov brought up a lot of scientists of morphology who developed the aspects he had noticed. The article reveals main directions of Zhdanov’s occupation and activity (studying the lymphatic system, mentorship and tutorship); major findings and methods which he used in his researche works; his interesting and many-sided personality. The article also describes works of D.A. Zhdanov in other scientific areas such as history of medicine and art, analyzes his international scientific work and role in formation of the Russian anatomy school, presents some biographical data, description of researches and recollections of colleagues.

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Non-Specific Mesenteric Lymphadenitis in Children (Literature Review)

Cited by 4 publications

References 25 publications

Childhood Mesenteric Adenitis -The Spectrum of Findings

Childhood Mesenteric Adenitis -The Spectrum of Findings

A modern view on the differential diagnosis of ultrasound characteristics of lymph nodes in mesadenitis in children

Dmitry A. Zhdanov ― the Founder of the Functional Anatomy of the Lymphatic System (to the 110th Birth Anniversary)

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