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Doctor insights on: Chronic Mesenteric Lymphadenitis

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What is the definition or description of: Mesenteric lymphadenitis?

What is the definition or description of: Mesenteric lymphadenitis?

Inflamed lymph nodes: There are lymph glands in the abdomen, usually within the membranous tissue that is attached to the intestine called mesentery. If these nodes become inflamed, it is called mesenteric lymphadenitis. One common place is around the appendix which could mimic signs and symptoms of appendicitis.

Mesentery (Definition)

1. A double layer of peritoneum attached to the abdominal wall and enclosing in its fold certain organs of the abdominal viscera. 2. A fold of the peritoneum that connects the intestines to the dorsal abdominal wall, especially such a fold that envelops ...Read more


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Is mesenteric adenitis the same as lymphadenitis?

Is mesenteric adenitis the same as lymphadenitis?

Location, Location: Lymphadenitis the general term used to describe the inflammation of your lymph nodes (tissues that help your body fight off illness). Mesenteric lymphadenitis is an inflammation of the lymph nodes in the membrane that attaches your intestines to your abdominal wall (mesentery). Mesenteric lymphadenitis is usually the result of an intestinal infection.

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What are appendicitis and mesenteric lymphadenitis?

What are appendicitis and mesenteric lymphadenitis?

Remove vs resolve: Appendicitis starts, progresses, with pain in lower right abdomen, fever and signs of infection. Surgeons remove the bad appendix, hopefully before it ruptures. Surgically cured! mesenteric lymphadenitis, different but not easy to tell. Patients feel poorly, pain in the same area, fevers, not as severe or acute as appendicitis. Patients often get an appendectomy, but have benign pathology.

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Appendicitis or mesenteric lymphadenitis, what to do?

Appendicitis or mesenteric lymphadenitis, what to do?

Use antibiotics: Scan of theabdomen can tell whether there is an abscess around the appendix or an appendicolith which would would indicate an inflammatory process in the appendix. If there is no evidence of perforation and white count stable one can attempt to control the picture with antibiotics only.

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Is mesenteric adenitis the same thing as mesenteric lymphadenitis?

Is mesenteric adenitis the same thing as mesenteric lymphadenitis?

Yes they are the sam: Mesenteric lymphadenitis is an inflammation of the lymph nodes in the membrane that attaches your intestine, or bowel, to your abdominal wall. Mesenteric lymphadenitis usually results from an intestinal infection. Unlike appendicitis, however, mesenteric lymphadenitis is seldom serious and clears on its own.

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How can you tell the difference between appendicitis or mesenteric lymphadenitis?

How can you tell the difference between appendicitis or mesenteric lymphadenitis?

They can be similar: Mesenteric lymphadenitis is an inflammation of the lymph nodes in the membrane that attaches your intestine, or bowel, to your abdominal wall. Mesenteric lymphadenitis usually results from an intestinal infection. Unlike appendicitis, however, mesenteric lymphadenitis is seldom serious and clears on its own.

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What's mesenteric lymphadenitis like?

What's mesenteric lymphadenitis like?

Mesenteric adenitis: Mesenteric adenitis (enlargement of lymph nodes in abdominal mesentery) is commonly seen in conditions that mimic acute appendicitis. When accompanied by inflammation of the ileum, & crohn's disease has been excluded, consider bacterial infection caused by yersinia enterocolitica, campylobacter, salmonella. Adenitis may also reflect non-gi inflammatory processes in the abdomen.

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What are the tests for mesenteric lymphadenitis?

Mesenteric adenitis: Us, ct. Mesenteric adenitis (enlargement of lymph nodes in abdominal mesentery) is commonly seen in conditions that mimic acute appendicitis. When accompanied by inflammation of the ileum, & crohn's disease has been excluded, consider bacterial infection caused by yersinia enterocolitica, campylobacter, salmonella. Adenitis may also reflect non-gi inflammatory processes in the abdomen.

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How long does pain from mesenteric lymphadenitis last?

How long does pain from mesenteric lymphadenitis last?

Few days or weeks: Mild, uncomplicated cases of mesenteric lymphadenitis usually go away on their own within a few days or weeks. Over-the-counter (otc) pain relievers and anti-inflammatories (tylenol, motrin, advil) may help relieve discomfort. Antibiotics may be prescribed if there is suspicion of a bacterial infection.

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How long will pain from mesenteric lymphadenitis last?

How long will pain from mesenteric lymphadenitis last?

Variable: For some patients the pain is ony several days but for others it can go on for weeks or almost be a constant discomfort. Some patients have nausea, vomiting and fevers associated with a flare up. Anti- inflammatories may provide some relief. It is not always clear what exacerbates it but infections can be triggers as can allergies, especially from food.

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What different types of mesenteric lymphadenitis are there?

What different types of mesenteric lymphadenitis are there?

Several: Condition of primary mesenteric with no other identified cause. Secondary to some identified problem = colitis, appendicitis, crohn's, etc. Then lymphadenopathy due to some primary problem (malignancy, lymphoma, metastasis).

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What should I do if symptoms for mesenteric lymphadenitis don't clear?

Re-evaluate: Mesenteric adenitis is a benign inflammation of the lymph nodes which follow the blood supply of the bowel. Symptoms can include right lower pain, and can be confused for appendicitis. If this diagnosis is made, and symptoms persist for more than 5-7 days, you should have the diagnosis re-considered. Good luck.

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My 5year old has had mesenteric lymphadenitis for two weeks, what's next?

Continued patience: You should consult with the child's pediatrician to look for other causes of the pain. If the original diagnosis was based on a ct scan, then it would depend on how convincing that scan was. Persistent lymphadenopathy would raise concern of another diagnosis so I would continue to follow up with the pediatrician.

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If symptoms of mesenteric lymphadenitis don't clear within a week and a half what's the next step?

If symptoms of mesenteric lymphadenitis don't clear within a week and a half what's the next step?

More time: Other serious causes have to be ruled out to make sure the inflammation is not from a surgical cause. If u have had this work up, symptoms go away with time and anti inflammatory meds. If not better, need to c ur doc to reassess and perhaps do another ct scan.

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Dr. Michael Macari
75 Doctors shared insights

Mesenteric Lymphadenitis (Definition)

A condition in which the lymph nodes in the membrane that connects your bowel to your abdominal wall is swollen. It is usually caused by an infection, and common symptoms include ...Read more