JBM  Vol.6 No.3 , March 2018
Mesenteric Adenitis as a Differential Appendicitis Diagnosis: Case Report
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.
Cite this paper: Paladino, V. , Miguel, T. , Miguel, B. , Pereira, M. , Junior, F. , Teixeira, C. , Babinski, C. , dos Anjos, N. , da Costa, D. , Martins, D. and dos Santos, B. (2018) Mesenteric Adenitis as a Differential Appendicitis Diagnosis: Case Report. Journal of Biosciences and Medicines, 6, 26-30. doi: 10.4236/jbm.2018.63003.

[1]   Macari, M. (2002) Mesenteric Adenitis? CT Diagnosis of Primary versus Secondary Causes, Incidence, and Clinical Significance in Pediatric and Adult Patients. American Journal of Roentgenology, 178, 853-858.

[2]   Figueiredo, J., Santos, A., Clemente, H., Lourenso, A., Costa, S., Grácio, M.A. and Belo, S. (2014) Schistosomose e Apendicite Aguda. Acta Medica Portuguesa, 27, 396-399.

[3]   Likitnukul, S. (2002) Appendicitis-Like Syndrome Owing to Mesenteric Adenitis Caused by Salmonella typhi. Annals of Tropical Paediatrics, 22, 97-99.

[4]   Garcia-Corbeira, P., Ramos, J.M., Aguado, J.M. and Soriano, F. (1995) Six Cases in Which Mesenteric Lynphadenitis Due to Non-Typhi Salmonella Caused an Appendicitis-Like Syndrome. Clinical Infectious Diseases, 21, 231-232.

[5]   Soares, A.T., Couto, C., Romao, P., Saraiva de Melo, I., Braga, M. and Diogo, J. (2014) Gastroenterite aguda por Campylobacter spp: casuíStica de uma urgência pediátrica. Acta Medica Portuguesa, 27, 556-560.

[6]   Melo, A.S.A., Moreira, L.B.M., Pinheiro, R.A., Noro, F., Alves, J.R.D. and Machado, B.B. (2002) Apendicite epiplóica: Aspectos na ultra-sonografia e na tomografia computadorizada. Radiologia Brasileira, 35, 171-174.

[7]   Freitas, G.P., Borges, A.A., Mendonca, R., Ribeiro, C. and Chindamo, M.C. (2008) Apendagite epiplóica: Aspectos clínicos e radiológicos. Arquivos de Gastroenterologia, 45, 163-165.

[8]   Rao, P.M., Rhea, J.J. and Noveline, R.A. (1997) Ct Diagnosis of Mesenteric Adenitis. Radiology, 202,145-149.