KUMJ | VOL. 19 | NO. 1 | ISSUE 73 | JAN.-MARCH, 2021
Childhood Mesenteric Adenitis -The Spectrum of Findings
Shrestha AL, Adhikari G
Abstract: Background
Mesenteric adenitis in children (≤ 18 years) can present with varied findings often
causing a diagnostic confusion. In children, considering the inadequacies in history
and physical examination, an accurate clinic-radiological diagnosis backed up with
laboratory data as indicated becomes important to avoid misdiagnosis and futile
interventions.
Objective
To study the profile of children evaluated for acute abdominal pain and diagnosed as
mesenteric adenitis.
Method
A retrospective review of children with abdominal symptoms, diagnosed to have
mesenteric adenitis between January 2018 and December 2020.
Result
A total of 85 patients (63 males, 22 females) were identified presenting at mean age
of 6 years (range 4 months-16 years). Primary Mesenteric Adenitis (PA) was found in
62, Secondary Mesenteric Adenitis (SA) in 11 and Complicated Primary Mesenteric
Adenitis (CPA) was identified in 12. All with PA responded well to supportive care.
Those with SA were treated for the primary cause and the ones with Complicated
Primary Mesenteric Adenitis were managed by treating the complication. All had a
favorable outcome.
Conclusion
When managing a child with abdominal pain, mesenteric adenitis should be
considered. Once clinically suspected, tailored management approach results in
fruitful outcome.
Keyword : Abdominal pain, Mesenteric adenitis, Ultrasound
