Abstract
Mesenteric adenitis consists of an important differential diagnosis of potentially serious diseases such as acute appendicitis, since they manifest themselves with a similar clinical picture. Case report: A 17-year-old male patient presented with periumbilical abdominal pain for 2 days, of abrupt onset and moderate intensity, who gave away with a common analgesic, which progressed to the right iliac fossa (RIF) and increased of intensity. He also reported liquid diarrhea, with several episodes a day, without mucus and/or blood, 38°C fever, anorexia and vomiting. He was hospitalized for investigating a possible diagnostic of Acute Appendicitis. In the exams, it was considered mesenteric adenitis, and antibiotic therapy was prescribed. The patient had complete improvement at the end of treatment. Conclusions: Given its importance as a differential diagnosis of numerous pathologies, as well as controversial before the therapeutic and diagnostic conduct, it is essential to report these cases in order to elucidate the specificities of this disease.
Highlights
Mesenteric Adenitis (MA) is described as the set of three or more lymph nodes measuring more than 5 mm in the mesentery of the lower right quadrant of the abdomen, visualized on computed tomography (CT) or ultrasonography
Mesenteric adenitis consists of an important differential diagnosis of potentially serious diseases such as acute appendicitis, since they manifest themselves with a similar clinical picture
Case report: A 17-year-old male patient presented with periumbilical abdominal pain for 2 days, of abrupt onset and moderate intensity, who gave away with a common analgesic, which progressed to the right iliac fossa (RIF) and increased of intensity
Summary
Mesenteric Adenitis (MA) is described as the set of three or more lymph nodes measuring more than 5 mm in the mesentery of the lower right quadrant of the abdomen, visualized on CT or ultrasonography. The picture is not considered serious, and tends to regress spontaneously after a few days or weeks In some cases, it may be asymptomatic, being diagnosed by findings during routine exams involving the abdominal region. It may be asymptomatic, being diagnosed by findings during routine exams involving the abdominal region In these cases, an additional investigation is necessary to clarify the underlying pathology [5]. The diagnosis can be guided by signs and symptoms evidenced in anamnesis and physical examination, but it is confirmed by imaging tests such as computed tomography (CT) or ultrasonography (USG) of the abdominal region [6] [7] It can be done by finding it during abdominal surgeries 1. The objective is to report a case of male MA with curative treatment through antibiotic therapy, highlighting the characteristics of this unusual pathology, as well as the differential diagnoses and research and treatment approaches available
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