Mesenteric Adenitis Flashcards
1
Q
What is mesenteric adenitis?
A
Inflammatory condition primarily involving the mesenteric lymph nodes
- often mimics appendicitis
2
Q
What is the common presentation of mesenteric adenitis?
A
Child <15 years with a recent viral/bacterial infection
3
Q
What organism causes the adenitis?
A
Yersinia enterocoliticia
Gram -ve (gut)
bacillus
4
Q
Clinical features of mesenteric adenitis?
A
Diffuse abdominal pain
Low grade fever
generalised abdominal tenderness
5
Q
Investigations and how to differentiate from appendicitis?
A
US abdomen : enlarged mesenteric lymph node normal appendix
FBC will be normal unlike appendicitis which has raised WCC
6
Q
How to manage mesenteric adenitis?
A
- Self Limiting therefore supportive care → pain management and adequate hydration.
- Pain may take 2-4 weeks to resolve.
7
Q
A
