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

作者:Helbling Rossana; Conficconi Elisa; Wyttenbach Marina; Benetti Cecilia; Simonetti Giacomo D; Bianchetti Mario G; Hamitaga Flurim; Lava Sebastiano A G*; Fossali Emilio F; Milani Gregorio P
来源:Biomed Research International, 2017, 2017: 9784565.
DOI:10.1155/2017/9784565

摘要

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, themainstay of diagnosis, discloses 3 ormoremesenteric lymph nodes with a short-axis diameter of 8mm 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.

  • 出版日期2017