eMedicine Specialties > Radiology > Pediatrics

Mesenteric Adenitis: Multimedia

Author: Brian Burke, MD, Assistant Professor, Department of Radiology, University of New York School of Medicine; Consulting Radiologist, Department of Radiology, North Shore University Hospital
Coauthor(s): Micha Ziprkowski, MD, Associate Chief, Pediatric Radiology, Associate Professor of Clinical Radiology, Department of Radiology, North Shore University Hospital
Contributor Information and Disclosures

Updated: Aug 25, 2009

Multimedia

Sonogram of normal mesenteric lymph nodes shows t...
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Media file 1: Sonogram of normal mesenteric lymph nodes shows that they are ovoid, with a prominent fatty hilum and a short-axis diameter less than 5 mm.
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Sonogram of normal mesenteric lymph nodes shows t...

Sonogram of normal mesenteric lymph nodes shows that they are ovoid, with a prominent fatty hilum and a short-axis diameter less than 5 mm.

Supine abdominal radiograph shows a mild localize...
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Media file 2: Supine abdominal radiograph shows a mild localized ileus and suggests nodular thickening of the terminal ileum.
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Supine abdominal radiograph shows a mild localize...

Supine abdominal radiograph shows a mild localized ileus and suggests nodular thickening of the terminal ileum.

Abdominal CT scan shows a cluster of enlarged nod...
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Media file 3: Abdominal CT scan shows a cluster of enlarged nodes in the right lower quadrant.
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Abdominal CT scan shows a cluster of enlarged nod...

Abdominal CT scan shows a cluster of enlarged nodes in the right lower quadrant.

Mesenteric thickening associated with right lower...
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Media file 4: Mesenteric thickening associated with right lower quadrant adenopathy.
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Mesenteric thickening associated with right lower...

Mesenteric thickening associated with right lower quadrant adenopathy.

A thickened ileum and cecum and a normal appendix...
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Media file 5: A thickened ileum and cecum and a normal appendix are depicted adjacent to an enlarged lymph node in this patient with mesenteric adenitis and terminal ileocolitis.
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A thickened ileum and cecum and a normal appendix...

A thickened ileum and cecum and a normal appendix are depicted adjacent to an enlarged lymph node in this patient with mesenteric adenitis and terminal ileocolitis.

Typical sonographic appearance of a normal append...
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Media file 6: Typical sonographic appearance of a normal appendix.
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Typical sonographic appearance of a normal append...

Typical sonographic appearance of a normal appendix.

Typical sonographic appearance of a lymph node.
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Media file 7: Typical sonographic appearance of a lymph node.
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Typical sonographic appearance of a lymph node.

Typical sonographic appearance of a lymph node.

Lymph node clustering in the right lower quadrant.
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Media file 8: Lymph node clustering in the right lower quadrant.
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Lymph node clustering in the right lower quadrant.

Lymph node clustering in the right lower quadrant.

Distended appendix with an appendicolith in acute...
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Media file 9: Distended appendix with an appendicolith in acute appendicitis.
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Distended appendix with an appendicolith in acute...

Distended appendix with an appendicolith in acute appendicitis.

Reactive lymph nodes in acute appendicitis.
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Media file 10: Reactive lymph nodes in acute appendicitis.
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Reactive lymph nodes in acute appendicitis.

Reactive lymph nodes in acute appendicitis.

Color sonogram demonstrates nodal hyperemia.
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Media file 11: Color sonogram demonstrates nodal hyperemia.
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Color sonogram demonstrates nodal hyperemia.

Color sonogram demonstrates nodal hyperemia.

Spectral Doppler sonogram demonstrates nodal hype...
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Media file 12: Spectral Doppler sonogram demonstrates nodal hyperemia.
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Spectral Doppler sonogram demonstrates nodal hype...

Spectral Doppler sonogram demonstrates nodal hyperemia.

Circumferential thickening of the ileal wall and ...
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Media file 13: Circumferential thickening of the ileal wall and associated nodal enlargement.
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Circumferential thickening of the ileal wall and ...

Circumferential thickening of the ileal wall and associated nodal enlargement.

More on Mesenteric Adenitis

Overview: Mesenteric Adenitis
Imaging: Mesenteric Adenitis
Follow-up: Mesenteric Adenitis
Multimedia: Mesenteric Adenitis
References
Further Reading
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References

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  2. Frisch M, Pedersen BV, Andersson RE. Appendicitis, mesenteric lymphadenitis, and subsequent risk of ulcerative colitis: cohort studies in Sweden and Denmark. BMJ. Mar 9 2009;338:b716. [Medline]. [Full Text].

  3. Schulte B, Beyer D, Kaiser C, et al. Ultrasonography in suspected acute appendicitis in childhood-report of 1285 cases. Eur J Ultrasound. Dec 1998;8(3):177-82. [Medline].

  4. Borgia G, Ciampi R, Nappa S, et al. Tuberculous mesenteric lymphadenitis clinically presenting as abdominal mass: CT and sonographic findings. J Clin Ultrasound. Sep 1985;13(7):491-3. [Medline].

  5. Puylaert JB. Mesenteric adenitis and acute terminal ileitis: US evaluation using graded compression. Radiology. Dec 1986;161(3):691-5. [Medline].

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  8. Zippi M, Colaiacomo MC, Marcheggiano A, et al. Mesenteric adenitis caused by Yersinia pseudotubercolosis in a patient subsequently diagnosed with Crohn's disease of the terminal ileum. World J Gastroenterol. Jun 28 2006;12(24):3933-5. [Medline].

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  15. American College of Radiology. ACR Appropriateness Criteria® right lower quadrant pain. National Guideline Clearinghouse. Available at http://www.guideline.gov/summary/summary.aspx?doc_id=8593&nbr=004780. Accessed May 26, 2009.

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  22. Achong DM, Oates E, Harris B. Mesenteric lymphadenitis depicted by indium 111-labeled white blood cell imaging. J Pediatr Surg. Dec 1993;28(12):1550-2. [Medline].

  23. Ikeda Y, Ikeda Y, Nakai T, Sano K, Ueda W, Aoki T, et al. A case of mesenteric lymphadenitis with long-acting symptom, showing marked response to corticosteroid. Nippon Shokakibyo Gakkai Zasshi. Sep 2007;104(9):1371-6. [Medline].

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Keywords

mesenteric adenitis, mesenteric lymphadenitis, acute ileitis, appendicitis, lymphoma

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Contributor Information and Disclosures

Author

Brian Burke, MD, Assistant Professor, Department of Radiology, University of New York School of Medicine; Consulting Radiologist, Department of Radiology, North Shore University Hospital
Brian Burke, MD is a member of the following medical societies: American College of Radiology, American Institute of Ultrasound in Medicine, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Coauthor(s)

Micha Ziprkowski, MD, Associate Chief, Pediatric Radiology, Associate Professor of Clinical Radiology, Department of Radiology, North Shore University Hospital
Micha Ziprkowski, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Radiology, American Institute of Ultrasound in Medicine, Association of University Radiologists, Radiological Society of North America, and Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Medical Editor

Henrique M Lederman, MD, PhD, Consulting Staff, Department of Radiology, LeBonheur Children's Medical Center and St Jude Children's Research Hospital; Professor of Radiology and Pediatric Radiology, Chief, Division of Diagnostic Imaging in Pediatrics, Federal University of Sao Paulo, Brazil
Henrique M Lederman, MD, PhD is a member of the following medical societies: Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

David A Stringer, BSc, MBBS, FRCR, FRCPC, Professor, National University of Singapore; Head, Diagnostic Imaging, KK Women's and Children's Hospital, Singapore
David A Stringer, BSc, MBBS, FRCR, FRCPC is a member of the following medical societies: British Columbia Medical Association, Canadian Association of Radiologists, European Society of Paediatric Radiology, Ontario Medical Association, Radiological Society of North America, Royal College of Physicians and Surgeons of Canada, Royal College of Radiologists, and Society for Pediatric Radiology
Disclosure: Sirius d'innovation None Board membership

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

John Karani, MBBS, FRCR, Clinical Director of Radiology and Consultant Radiologist, Department of Radiology, King's College Hospital, London
John Karani, MBBS, FRCR is a member of the following medical societies: British Institute of Radiology, British Society of Interventional Radiology, Cardiovascular and Interventional Radiological Society of Europe, European Society of Gastrointestinal and Abdominal Radiology, European Society of Radiology, Radiological Society of North America, and Royal College of Radiologists
Disclosure: Nothing to disclose.

 
 
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