The ML group had patients who had acute abdomen signs, in whom appendicitis was ruled out after physical examination and investigations, and in whom mesenteric lymphadenitis
was detected with ultrasound (US).
can further mimic urolithiasis, which is not a surgical emergency and does not need surgery (Figure 2).
is a common medical cause of abdominal pain in paediatric patients.
Laparoscopic findings include acute recurrent appendicitis in 32 (29.09%) patients, cholecystitis with biliary sludge in 14 (12.72%), pelvic inflammatory disease in 12 (10.90%), ovarian cyst in 11 (10%), adhesions in 10 (9.09%), intestinal tuberculosis in 8 (7.27%), mesenteric lymphadenitis
in 7 (6.36%), lymphoma in 4 (3.63%), ectopic pregnancy in 3 (2.7%), CA gallbladder in 2 (1.81%), Meckels diverticulum in 2 (1.81%), endometriosis in 2 (1.81%) and Crohns disease in 1 (0.9%) patients.
A few years after the First World War, the existence of a mesenteric lymphadenitis
, as an independent clinical entity of nontuberculous origin, was recognized .
In the syndrome of pseudoappendicitis, the distinctive findings found by surgical exploration of severe mesenteric lymphadenitis
can be suggestive, but diagnosis would require confirmation by culture of nodes or feces (2,3).
Women more than doubled their risk of developing Crohn's disease if they had nonspecific abdominal pain, perforated appendicitis, or mesenteric lymphadenitis
. Men more than doubled their risk if they had nonspecific abdominal pain.
The enlarged grossly visible mesenteric nodes seen in diagnostic laparoscopy in a patient presenting with acute RLQ pain is usually due to acute mesenteric lymphadenitis
. Laparoscopy is often needed to diagnose and to prevent missed appendicitis.
The organism can also cause mesenteric lymphadenitis
, which mimics appendicitis, or infection at other body sites that occasionally leads to postinfectious sequelae such as reactive arthritis and erythema nodosum (1).
The other cases were diagnosed as pancreatitis 3% (1 case), sigmoid diverticulitis 3% (1 case), mesenteric lymphadenitis
3% (1 case), renal colic 14% (5 cases) and normal study 78% (28 cases).
of cases % * Tubercular perforation with matted bowel 4 26.66 with mesenteric lymphadenitis
* Marked peritoneal adhesion with mesenteric 2 13.33 lymphadenitis with perforation * Ileo-coecal hyperthrophic mass with 2 13.33 stricture with mesenteric lymphadenitis
* Obstructing band with adhesion with 2 13.33 mesenteric lymphadenitis
with perforation * Encysted Ascitis 5 13.33 * Stricture ileum 2 13.33 * Strictureileum & Jejunum both 1 6.67 withperforation Table 5: Showing various operative procedure done Procedure No.
Tuberculosis mesenteric lymphadenitis
: Usually occurs from infection in Payer's Patches.
Other findings included pelvic inflammatory disease (25%), abdominal tuberculosis (12%), chronic appendicitis (8%), mesenteric lymphadenitis
(5%) and diverticulosis.
The detection of enlarged lymph nodes without any other abnormality is termed mesenteric lymphadenitis
, meaning inflammatory process of abdominal lymph nodes.