Acute Nonspecific Mesenteric Lymphadenitis: More Than "No Need for Surgery".

Abstract:

: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.

journal_name

Biomed Res Int

authors

Helbling R,Conficconi E,Wyttenbach M,Benetti C,Simonetti GD,Bianchetti MG,Hamitaga F,Lava SA,Fossali EF,Milani GP

doi

10.1155/2017/9784565

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

9784565

eissn

2314-6133

issn

2314-6141

journal_volume

2017

pub_type

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