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Ultrasonografi ile Çocuklarda Mezenterik Lenf Nodlarının Değerlendirilmesi

Year 2005, Volume: 22 Issue: 3, 123 - 127, 31.12.2009

B. Aralan Tan M. Ceyhan İ.K. Bayrak M. Ilgar N. Gürmen

Abstract

Mezenterik lenf nodlan infeksiyöz, noninfeksiyöz veya malign hastalık ya da gastrointestinal sistemde enflamatuvar lezyonu bulunan çocuklarda görülebileceği gibi asemptomatik çocuklarda da saptanabilir. Günümüzde ultrasonografi teknolojisindeki gelişmeler sayesinde me-zenter lenf nodları daha kolay görülebilir hale gelmiştir. Bu nedenle normal lenf nodlarının sonografik özelliklerinin bilinmesi patolojik olandan ayrımının yapılmasında önem kazanmaktadır. Çalışmamızda rastgele seçilmiş karın ağrısı olmayan ve farklı nedenlerle ultrasonografi yapılan 100 çocukta mezenter lenf nodlarının dağılımı, sayısı, boyutları ve şekli değerlendirildi. Lenf nodları boyut ölçümünde en büyük olanlar değerlendirmeye alındı. Hastalar 1-5 yaş, 6-10 yaş, 11-14 yaş olmak üzere üç yaş grubuna ayrıldı. Yaş grupları ile lenf nodu sayısı, boyutları ve yerleşimi arasında istatistiksel ilişki saptanmadı. Çalışmamızın sonucuna göre uzun çapı 10 mm, kısa çapı 4 mm'ye kadar olan, oval şekilli lenf nodlarının çocuklarda normal olarak kabul edilebileceği gösterildi.



Evaluation of Mesenteric Lymph Nodes in Children by Ultrasonography

Mesenteric lymph nodes are commonly identified in children with infectious, non-infectious and malignant or inflammatory diseases of the gastrointestinal system as well as in asymptomatic children. Development of ultrasound technology has made it possible to determine mesenteric lymph nodes much easier. With this study we assessed the distribution, number, size and shape of lymph nodes with ultrasonography in 100 child with no complaint of abdominal pain who underwent ultrasonography for other reasons. In all patients we evaluated the largest mesenteric lymph node. The children were divided into three age groups as 1 to 5, 6 to10 and 11 to 14 years. We did not find any correlation between the three age groups and the distribution, number and size of lymph nodes. Our study showed that ellipsoid lymph nodes with its large diameter of less than 10 mm and a small diameter of less than 4 mm can be considered as a normal finding in asymptomatic children.

Keywords

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References

  • Sivit JC, Newman KD, Chandra RS. Visualization of enlarged mesenteric lymph nodes at US examination. Clinical significance. Pediatr Radiol.1993; 23: 471–5.
  • Drake DP. Acute abdominal pain in children. J. the Royal. Society of Medicine 1980 ; 73: 641–5.
  • Siegal MJ, Carel C, Surratt S. Ultrasonography of acute abdominal pain in children. JAMA 1987; 266: 1987–9.
  • Watanabe M, Ishii E, Hirowatari Y, et al. Evaluation of abdominal lymphadenopathy in children by u l t r asonography. Pediatr Radiol 1997; 27: 860–4.
  • Macari M, Hines J, Balthazar E, et al. Mesenteric adenitis:CT diagnosis of primary versus secondary causes, incidence,and clinical significance in pediatric and adult patients. AJR 2002; 178: 853–8.
  • Vayner N, Coret A, Polliack G, et al. Mesenteric l y m p h a d e n o p a t h y in children examination by US for chronic and/or recurrent abdominal pain. Pediatr Radiol 2003; 33: 864–7.
  • Rao PM, Rhea JT, Novelline RA. CT diagnosis of mesenteric adenitis. Radiology 1997; 202: 145–9.
  • Puylaert JB. Acute appendicitis:US evaluation using graded compression. Radiology 1986; 158: 355–60.
  • Pieper R, Kager L, Namsan P. Acute appendicitis: a clinical study of 1,018 cases of emergency appendectomy. Acta Chir Scand 1982; 148: 51–62.
  • Healy MV, Graham PM. Assessment of abdominal lymph nodes in a normal pediatric population: an ultrasound study. Australian Radiol 1993; 37: 171–2. 11. Rathaus V, Shapiro M, Grunebaum M, et al. Enlarged mesenteric lymph nodes in asymptomatic children: the value of the finding in various imaging modalities. The British Journal of Radiology 2005; 78: 30-33.
  • Karmazyn B, Werner E.A, Rejaie B, et al. Mesenteric lymph nodes in children: what is normal? Pediatr Radiol 2005; 35: 774–7.
  • Grossman M, Shiramizu B. Evaluation of l y m p h a d e n o p a t h y in children. Curr Opin Pediatr 1994; 6: 68–76.
  • Aronberg DJ, Peterson RR ,Glazer HS, et al. Superior diaphragmatic lymph nodes:CT assessment. J Comput Assist Tomogr 1986; 10: 937–41.
  • Vignault F, Filiatrault D, Brandt ML, et al. Acute appendicitis in children: evaluation with US. Radiology 1985; 176: 501-504.

Year 2005, Volume: 22 Issue: 3, 123 - 127, 31.12.2009

B. Aralan Tan M. Ceyhan İ.K. Bayrak M. Ilgar N. Gürmen

Abstract

References

  • Sivit JC, Newman KD, Chandra RS. Visualization of enlarged mesenteric lymph nodes at US examination. Clinical significance. Pediatr Radiol.1993; 23: 471–5.
  • Drake DP. Acute abdominal pain in children. J. the Royal. Society of Medicine 1980 ; 73: 641–5.
  • Siegal MJ, Carel C, Surratt S. Ultrasonography of acute abdominal pain in children. JAMA 1987; 266: 1987–9.
  • Watanabe M, Ishii E, Hirowatari Y, et al. Evaluation of abdominal lymphadenopathy in children by u l t r asonography. Pediatr Radiol 1997; 27: 860–4.
  • Macari M, Hines J, Balthazar E, et al. Mesenteric adenitis:CT diagnosis of primary versus secondary causes, incidence,and clinical significance in pediatric and adult patients. AJR 2002; 178: 853–8.
  • Vayner N, Coret A, Polliack G, et al. Mesenteric l y m p h a d e n o p a t h y in children examination by US for chronic and/or recurrent abdominal pain. Pediatr Radiol 2003; 33: 864–7.
  • Rao PM, Rhea JT, Novelline RA. CT diagnosis of mesenteric adenitis. Radiology 1997; 202: 145–9.
  • Puylaert JB. Acute appendicitis:US evaluation using graded compression. Radiology 1986; 158: 355–60.
  • Pieper R, Kager L, Namsan P. Acute appendicitis: a clinical study of 1,018 cases of emergency appendectomy. Acta Chir Scand 1982; 148: 51–62.
  • Healy MV, Graham PM. Assessment of abdominal lymph nodes in a normal pediatric population: an ultrasound study. Australian Radiol 1993; 37: 171–2. 11. Rathaus V, Shapiro M, Grunebaum M, et al. Enlarged mesenteric lymph nodes in asymptomatic children: the value of the finding in various imaging modalities. The British Journal of Radiology 2005; 78: 30-33.
  • Karmazyn B, Werner E.A, Rejaie B, et al. Mesenteric lymph nodes in children: what is normal? Pediatr Radiol 2005; 35: 774–7.
  • Grossman M, Shiramizu B. Evaluation of l y m p h a d e n o p a t h y in children. Curr Opin Pediatr 1994; 6: 68–76.
  • Aronberg DJ, Peterson RR ,Glazer HS, et al. Superior diaphragmatic lymph nodes:CT assessment. J Comput Assist Tomogr 1986; 10: 937–41.
  • Vignault F, Filiatrault D, Brandt ML, et al. Acute appendicitis in children: evaluation with US. Radiology 1985; 176: 501-504.
There are 14 citations in total.

Details

Primary Language English
Journal Section Basic Medical Sciences
Authors

B. Aralan Tan This is me

M. Ceyhan This is me

İ.K. Bayrak This is me

M. Ilgar This is me

N. Gürmen This is me

Publication Date December 31, 2009
Submission Date October 26, 2009
Published in Issue Year 2005 Volume: 22 Issue: 3

Cite

APA Aralan Tan, B., Ceyhan, M., Bayrak, İ., Ilgar, M., et al. (2009). Ultrasonografi ile Çocuklarda Mezenterik Lenf Nodlarının Değerlendirilmesi. Journal of Experimental and Clinical Medicine, 22(3), 123-127. https://doi.org/10.5835/jecm.v22i3.65
AMA Aralan Tan B, Ceyhan M, Bayrak İ, Ilgar M, Gürmen N. Ultrasonografi ile Çocuklarda Mezenterik Lenf Nodlarının Değerlendirilmesi. J. Exp. Clin. Med. December 2009;22(3):123-127. doi:10.5835/jecm.v22i3.65
Chicago Aralan Tan, B., M. Ceyhan, İ.K. Bayrak, M. Ilgar, and N. Gürmen. “Ultrasonografi Ile Çocuklarda Mezenterik Lenf Nodlarının Değerlendirilmesi”. Journal of Experimental and Clinical Medicine 22, no. 3 (December 2009): 123-27. https://doi.org/10.5835/jecm.v22i3.65.
EndNote Aralan Tan B, Ceyhan M, Bayrak İ, Ilgar M, Gürmen N (December 1, 2009) Ultrasonografi ile Çocuklarda Mezenterik Lenf Nodlarının Değerlendirilmesi. Journal of Experimental and Clinical Medicine 22 3 123–127.
IEEE B. Aralan Tan, M. Ceyhan, İ. Bayrak, M. Ilgar, and N. Gürmen, “Ultrasonografi ile Çocuklarda Mezenterik Lenf Nodlarının Değerlendirilmesi”, J. Exp. Clin. Med., vol. 22, no. 3, pp. 123–127, 2009, doi: 10.5835/jecm.v22i3.65.
ISNAD Aralan Tan, B. et al. “Ultrasonografi Ile Çocuklarda Mezenterik Lenf Nodlarının Değerlendirilmesi”. Journal of Experimental and Clinical Medicine 22/3 (December 2009), 123-127. https://doi.org/10.5835/jecm.v22i3.65.
JAMA Aralan Tan B, Ceyhan M, Bayrak İ, Ilgar M, Gürmen N. Ultrasonografi ile Çocuklarda Mezenterik Lenf Nodlarının Değerlendirilmesi. J. Exp. Clin. Med. 2009;22:123–127.
MLA Aralan Tan, B. et al. “Ultrasonografi Ile Çocuklarda Mezenterik Lenf Nodlarının Değerlendirilmesi”. Journal of Experimental and Clinical Medicine, vol. 22, no. 3, 2009, pp. 123-7, doi:10.5835/jecm.v22i3.65.
Vancouver Aralan Tan B, Ceyhan M, Bayrak İ, Ilgar M, Gürmen N. Ultrasonografi ile Çocuklarda Mezenterik Lenf Nodlarının Değerlendirilmesi. J. Exp. Clin. Med. 2009;22(3):123-7.

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