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Sonography-Assisted Interpretation: Is There Any Meaning of Mesenteric Lymphadenitis Found Incidentally In Symptomatic Children?

Year 2021, Volume: 8 Issue: 4, 631 - 634, 31.12.2021
https://doi.org/10.34087/cbusbed.895382

Abstract

Objective: Mesenteric lymphadenitis (ML) is common in pediatric patients admitted to the emergency room with abdominal pain. The aim of this study is to determine abdominal pathologies associated with ML defined by ultrasonography (US).
Materials and Methods: The clinical, laboratory and radiological findings of a total of 158 patients, 104 of whom were men, with a mean age of 9, were re-evaluated.
Results: The most common location of ML defined by US was the right lower quadrant (86%). The most common pathology with ML was nonspecific abdominal pain (NSAP) at a rate of 50%. ML measurements and location did not correlate with gender, age, and abdominal pathology.
Conclusion: In abdominal pain that requires admission to the emergency service in children, ML detected in the abdominal examination performed by US may be the only finding detected. The presence of ML may be associated with NSAP.

References

  • Puylaert, J.B, van der Zant, F.M, Mesenteric lymphadenitis or appendicitis? American Journal of Roentgenology, 1995, 165, 490.
  • Kim, J.S, Acute abdominal pain in children, Pediatric Gastroenterology Hepatolology and Nutrition, 2013, 16, 219-24.
  • Macari, M, Hines, J, et al. Mesenteric adenitis: CT diagnosis of primary versus secondary causes, incidence, and clinical significance in pediatric and adult patients, American Journal of Roentgenology, 2002, 178, 853-8.
  • Helbling, R, et al., Acute Nonspecific Mesenteric Lymphadenitis: More Than No Need for Surgery, BioMedical Research International, 2017, 9784565.
  • Macari, M, Hines, J, Balthazar, E, Megibow, A, Mesenteric Adenitis, American Journal of Roentgenology, 2002, 178, 4, 853-58.
  • Wang, W.G, Tıan, H, et al., Enlarged mesenteric lymph nodes in children: a clinical analysis with ultrasonography and the implications, Nan Fang Yi Ke Da Xue Xue Bao, 2011, 31(3), 522-4.
  • Simanovsky, N, Hiller, N, Importance of sonographic detection of enlarged abdominal lymph nodes in children, Journal of Medical Ultrasound, 2007, 26, 581-4.
  • Carlucci, M, Beneduce, A.A, et al., Nonspecific Abdominal Pain, Emergency Laparoscopy, 2016, pp 73-78, Springer, Cham.
  • Hastings, R.S, Powers, R.D, Abdominal pain in the ED: a 35 year retrospective, American Journal of Emergency Medical, 2011, 29(7), 711-6.
  • Özdamar, M.Y, Karavaş, E, Acute mesenteric lymphadenitis in children: findings related to differential diagnosis and hospitalization, Archives of Medical Science, 2020, 16(2), 313-320.
  • Karami, M, Taki, M, Prevalence of lymph node and maximum short axis in traumatic patients, Journal of Research in Medical Sciences, 2018, 29, 23, 1.
  • Rathaus, V, Shapiro, M, et al., Enlarged mesenteric lymph nodes in asymptomatic children: the value of the inding in various imaging modalities, British Journal of Radiology, 2005, 78, 30–33.
  • Spijkers, S, Staats, J.M, et al., Abdominal lymph node size in children at computed tomography, Pediatric Radiology, 2020, 50, 1263–70.
  • Lucey, B.C, Stuhlfaut, J.W, et al., Mesenteric lymph nodes: detection and significance on MDCT, American Journal of Roentgenology, 2005, 184(1), 41-4.

Sonografi destekli yorumlama: Semptomatik çocuklarda insidental bulunan mezenterik lenfadenitin anlamı var mı?

Year 2021, Volume: 8 Issue: 4, 631 - 634, 31.12.2021
https://doi.org/10.34087/cbusbed.895382

Abstract

Giriş ve Amaç: Karın ağrısı nedeni ile acil servise başvuran çocuk hastalarda mezenterik lenfadenit (ML) sık rastlanır. Bu çalışmanın amacı ultrasonografi (US) ile tanımlana ML’nın birliktelik gösterdiği karın patolojilerini belirlemektir. Gereç ve Yöntemler: Ortalama yaşı 9 olan 104’ü erkek toplam 158 hastanın klinik, laboratuar ve radyolojik bulguları tekrar değerlendirildi.
Bulgular: US ile tanımlanan ML en sık yerleşim yeri sağ alt kadrandı (%86). ML en sık birliktelik gösterdiği patoloji %50 oranında nonspesifik karın ağrısıydı (NSKA). ML ölçümlerinin, yerleşiminin cinsiyet, yaş ve karın patolojisi ile bağlantısı yoktu.
Sonuç: Çocuklarda acil servise başvuru gerektiren karın ağrısında, US ile yapılan karın incelemesinde saptanan ML saptanan tek bulgu olabilir. ML varlığı, NSKA ile ilişkili olabilir.

References

  • Puylaert, J.B, van der Zant, F.M, Mesenteric lymphadenitis or appendicitis? American Journal of Roentgenology, 1995, 165, 490.
  • Kim, J.S, Acute abdominal pain in children, Pediatric Gastroenterology Hepatolology and Nutrition, 2013, 16, 219-24.
  • Macari, M, Hines, J, et al. Mesenteric adenitis: CT diagnosis of primary versus secondary causes, incidence, and clinical significance in pediatric and adult patients, American Journal of Roentgenology, 2002, 178, 853-8.
  • Helbling, R, et al., Acute Nonspecific Mesenteric Lymphadenitis: More Than No Need for Surgery, BioMedical Research International, 2017, 9784565.
  • Macari, M, Hines, J, Balthazar, E, Megibow, A, Mesenteric Adenitis, American Journal of Roentgenology, 2002, 178, 4, 853-58.
  • Wang, W.G, Tıan, H, et al., Enlarged mesenteric lymph nodes in children: a clinical analysis with ultrasonography and the implications, Nan Fang Yi Ke Da Xue Xue Bao, 2011, 31(3), 522-4.
  • Simanovsky, N, Hiller, N, Importance of sonographic detection of enlarged abdominal lymph nodes in children, Journal of Medical Ultrasound, 2007, 26, 581-4.
  • Carlucci, M, Beneduce, A.A, et al., Nonspecific Abdominal Pain, Emergency Laparoscopy, 2016, pp 73-78, Springer, Cham.
  • Hastings, R.S, Powers, R.D, Abdominal pain in the ED: a 35 year retrospective, American Journal of Emergency Medical, 2011, 29(7), 711-6.
  • Özdamar, M.Y, Karavaş, E, Acute mesenteric lymphadenitis in children: findings related to differential diagnosis and hospitalization, Archives of Medical Science, 2020, 16(2), 313-320.
  • Karami, M, Taki, M, Prevalence of lymph node and maximum short axis in traumatic patients, Journal of Research in Medical Sciences, 2018, 29, 23, 1.
  • Rathaus, V, Shapiro, M, et al., Enlarged mesenteric lymph nodes in asymptomatic children: the value of the inding in various imaging modalities, British Journal of Radiology, 2005, 78, 30–33.
  • Spijkers, S, Staats, J.M, et al., Abdominal lymph node size in children at computed tomography, Pediatric Radiology, 2020, 50, 1263–70.
  • Lucey, B.C, Stuhlfaut, J.W, et al., Mesenteric lymph nodes: detection and significance on MDCT, American Journal of Roentgenology, 2005, 184(1), 41-4.
There are 14 citations in total.

Details

Primary Language Turkish
Subjects Radiology and Organ Imaging
Journal Section Araştırma Makalesi
Authors

Avni Merter Keçeli 0000-0002-9412-6733

Zeynep Keskin 0000-0001-6496-8748

Publication Date December 31, 2021
Published in Issue Year 2021 Volume: 8 Issue: 4

Cite

APA Keçeli, A. M., & Keskin, Z. (2021). Sonografi destekli yorumlama: Semptomatik çocuklarda insidental bulunan mezenterik lenfadenitin anlamı var mı?. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 8(4), 631-634. https://doi.org/10.34087/cbusbed.895382
AMA Keçeli AM, Keskin Z. Sonografi destekli yorumlama: Semptomatik çocuklarda insidental bulunan mezenterik lenfadenitin anlamı var mı?. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. December 2021;8(4):631-634. doi:10.34087/cbusbed.895382
Chicago Keçeli, Avni Merter, and Zeynep Keskin. “Sonografi Destekli Yorumlama: Semptomatik çocuklarda Insidental Bulunan Mezenterik Lenfadenitin Anlamı Var mı?”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8, no. 4 (December 2021): 631-34. https://doi.org/10.34087/cbusbed.895382.
EndNote Keçeli AM, Keskin Z (December 1, 2021) Sonografi destekli yorumlama: Semptomatik çocuklarda insidental bulunan mezenterik lenfadenitin anlamı var mı?. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8 4 631–634.
IEEE A. M. Keçeli and Z. Keskin, “Sonografi destekli yorumlama: Semptomatik çocuklarda insidental bulunan mezenterik lenfadenitin anlamı var mı?”, CBU-SBED: Celal Bayar University-Health Sciences Institute Journal, vol. 8, no. 4, pp. 631–634, 2021, doi: 10.34087/cbusbed.895382.
ISNAD Keçeli, Avni Merter - Keskin, Zeynep. “Sonografi Destekli Yorumlama: Semptomatik çocuklarda Insidental Bulunan Mezenterik Lenfadenitin Anlamı Var mı?”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8/4 (December 2021), 631-634. https://doi.org/10.34087/cbusbed.895382.
JAMA Keçeli AM, Keskin Z. Sonografi destekli yorumlama: Semptomatik çocuklarda insidental bulunan mezenterik lenfadenitin anlamı var mı?. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2021;8:631–634.
MLA Keçeli, Avni Merter and Zeynep Keskin. “Sonografi Destekli Yorumlama: Semptomatik çocuklarda Insidental Bulunan Mezenterik Lenfadenitin Anlamı Var mı?”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, vol. 8, no. 4, 2021, pp. 631-4, doi:10.34087/cbusbed.895382.
Vancouver Keçeli AM, Keskin Z. Sonografi destekli yorumlama: Semptomatik çocuklarda insidental bulunan mezenterik lenfadenitin anlamı var mı?. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2021;8(4):631-4.