The current study was planned to investigate whether some inflammatory markers in the blood could be favourable predictors in differentiating appendicitis from mesenteric lymphadenitis
(ML) and familial Mediterranean fever (FMF).
However, several surgical and medical emergencies, including appendicitis, mesenteric lymphadenitis
, epiploic appendagitis, and sclerosing mesenteritis may clinically resemble renal stone complaints.
When enlarged nodes are found with no other abnormality detected, the term "mesenteric lymphadenitis
" is often used to describe an inflammatory process of abdominal lymph nodes.
If patients present with acute symptoms, it is usually secondary to acute intestinal obstruction, acute peritonitis with or without perforation, acute mesenteric lymphadenitis
, or acute appendicitis .
While mesenteric lymphadenitis
was not detected in either patient, E.
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.
Acute nonspecific, or primary, mesenteric lymphadenitis
is a self-limiting inflammatory condition affecting the mesenteric lymph nodes [1, 2] (throughout the text, the prefix "nonspecific" is implied when this term is used, unless otherwise stated).
Suppurative lymphadenitis may be due to a Staphylococcus aureus infection, mesenteric lymphadenitis
, LGV and cat-scratch disease.
The etiology of volvulus/ invagination in our patient was not clearly elucidated and it was thought to be related with mesenteric lymphadenitis
. It was decided that the patient be followed up without treatment, because he had mild complaints.
A foodborne pathogen associated with undercooked pork, Yersinia enterocolitica is a gram-negative coccobacillus causing appendicitis, ileitis, colitis, and mesenteric lymphadenitis
Findings Number Management Mesenteric lymphadenitis
07 Lymph node biopsy * Worm bolus 04 Squeezed into colon Intussusceptions 03 Reduced Tuberculosis 03 Tubercles taken for biopsy Mesenteric gap with 02 Repaired herniation Omental infarction 01 Excised Twisted ovarian cyst 03 Untwisted and cystectomy done Leaking corpus luteal cyst 04 Left as it was Total 27 ([dagger]) Appendectomy was also done in all except tuberculosis cases.
Primary mesenteric lymphadenitis
is diagnosed when the only findings are enlarged mesenteric lymph nodes.