NON-SPECIFIC MESENTERIC LYMPHADENITIS IN CHILDREN (LITERATURE REVIEW)
https://doi.org/10.15690/pf.v10i1.585
Abstract
A problem of timely diagnostics and management tactics of acute non-specific mesenteric lymphadenitis in children has not been settled yet, as there is no common opinion of its etiology and pathogenesis. This disease is of practical interest for pediatricians and pediatric surgeons, as the acute mesenteric lymphadenitis’s clinical presentation gives an “acute abdomen” symptomatic complex; this determines its importance in differential diagnosis with acute appendicitis. The article gives a literature review on this issue.
About the Authors
E. A. SologubRussian Federation
pediatrician, scientific secretary at research institute for emergency pediatric surgery and traumatology
O. V. Karaseva
A. G. Timofeeva
References
1. Puylaert J. B. Mesenteric adenitis and acute terminal ileitis: US evaluation using graded compression. Radiology. 1986; 161 (3): 691–695.
2. Bortulev P.I., Neskuchaev V.V. Acute nonspecific mesenteric adenitis in children. Meditsinskii vestnik Severnogo Kavkaza = Medical bulletin of the North Caucasus. 2009; 1: 83–84.
3. Davidenko V.B. Syndrome of "acute abdomen" in children. Meditsina neotlozhnykh sostoyanii = Medical emergency conditions. 2006; 6 (7): 109–111.
4. Kushch N.L., Tkachenko L.I. Nespetsificheskii mezenterial'nyi limfadenit u detei [Nonspecific Mesenteric Lymphadenitis in Children]. Kiev, Zdorov'e, 1984. 79 p.
5. Lomachenko I.N. Ostryi abdominal'nyi bolevoi sindrom u detei i ego znachimost' [Acute Abdominal Pain Syndrome in Children and its Significance]. Tezisy Rossiiskoi nauchno-prakticheskoi konferentsii «Organizatsiya meditsinskoi pomoshchi bol'nym s bolevymi sindromami» (Abstracts of the Russian scientific-practical Conference "The Organization of Medical Care for Patients with Pain Syndromes"). Novosibirsk, 1997. pp. 217–227.
6. Dzhumabaev E.S., Akhliddinov O.A. Acute catarrhal appendicitis: whether appendectomy? Khirurgiya = Surgery. 2004; 2: 53–61.
7. Torgunakov A.P. What to do with a simple (catarrhal) appendicitis? Khirurgiya = Surgery. 2005; 7: 60–62.
8. Isakov Yu.F., Stepanov E.A., Krasovskaya T.V. Abdominal'naya khirurgiya u detei: Rukovodstvo [Abdominal Surgery in Children: Manual]. Moscow, Meditsina, 1988. 416 p.
9. Ger R. Clinical impressions in non-specific mesenteric adenitis. Tydskrif vir geneeskunde. 1954; 10: 589–592.
10. Timerbulatov V.M., Timerbulatov Sh.V., Fayazov R.R., Sakhautdinov R.M., Sagitov R.B. Acute mesenteric lymphadenitis in surgical practice. Annaly khirurgii = Annals of surgery. 2009; 1: 34–40.
11. Petrenko V.M. The lymphatic system: anatomy and development. Fundamental'nye issledovaniya = Fundamental research. 2010; 10: 30–34.
12. Zhdanov D.A. Obshchaya anatomiya i fiziologiya limfaticheskoi sistemy [General Anatomy and Physiology of the Lymphatic System]. Moscow, Meditsina, 1952. pp. 205–212.
13. Borisov A.E., Kubachev K.G., Kotlyar V.L. et al. Ostryi mezoadenit kak oslozhnenie kishechnykh infektsii. Uchebnoe posobie dlya vrachei [Acute Mezoadenit as a Complication of Intestinal Infections. A Manual for Physicians]. St. Petersburg, 2004. 61 p.
14. Slutskaya S. R. Acute mesenteric lymphadenitis in children. Khirurgiya = Surgery. 1957; 3: 98–100.
15. Esipov A. V., Kislenko A. M., Eryashev F. A., Bespal'ko V. I., Shmakov S. N. Acute mesenteric lymphadenitis: modern approaches to the differential diagnosis and choice of treatment. Voenno-meditsinskii zhurnal = Military medical journal. 2010; 6: 27–31.
16. Fayazov R. R., Sagitov R. B., Sakhautdinov R. M., Timerbulatov Sh. V., Chanyshev B. F. Acute mesenteric lymphadenitis in surgical practice. Meditsinskii vestnik Bashkortostana = Bashkortostan medical bulletin. 2008; 4: 53–61.
17. Karmazyn B. Mesenteric lymph nodes in children: what is normal? Pediatr. Radiology. 2005; 35 (88): 774–777.
18. Lucey B. C., Stuhlfaut J. W., Soto J. A. Mesenteric lymph nodes: detection and significance on MDCT. AJR. 2005; 184: 41–44.
19. Rao P. M., Rhea J. T., Novelline R. A. CT diagnosis of mesenteric adenitis. Radiology. 1997; 202: 145–149.
20. Zubik T.M., Ivanov K.S., Kazantsev A.P., Kazantsev V.A. Differentsial'naya diagnostika infektsionnykh boleznei: Rukovodstvo dlya vrachei [Differential Diagnosis of Infectious Diseases: a Guide for Physicians]. Leningrad, Meditsina, 1991. 335 p.
21. Blattner R. J. Acute mesenteric lymphadenitis. J. Pediatr. 1969; 3: 479–481.
22. Lee C. C., Su C. P., Chen S. Y. et al. Mesenteric adenitis caused by Salmonella enterica serovar Enteritidis. J. Formos. Med. Assoc. 2004; 103 (6): 463–466.
23. Rizakhanov D.M. Diagnostika i lechebnaya taktika pri ostrom mezoadenite v klinike kishechnykh infektsii. Avtoref. dis. … kand. med. nauk [Diagnosis and Therapeutic Tactics in Acute Mezoadenite Clinic Intestinal Infections. Author’s abstaract]. St. Petersburg, 2003. 25 p.
24. Lee J. H., Rhee P. L., Lee J. K., Son H. J., Kirn J. J., Koh K. C., Paik S. W., Lee W. J., Lim H. K., Rhee J. C. The etiology and clinical characteristics of mesenteric adenitis in Korean adults. J. Korean. Med. Sci. 1997; 12 (2): 105–110.
25. Sikorska-Wisniewska G., Liberek A., Gоra-Gebka M. et al. Mesenteric lymphadenopathy — a valid health problem in children. Med Wieku Rozwoj. 2006; 10 (2): 453–462.
26. Vasil'ev A.V. Vnelegochnyi tuberkulez. Rukovodstvo dlya vrachei [Extrapulmonary Tuberculosis. Guide for Physicians]. St. Petersburg, Foliant, 2000. 568 p.
27. Lenskii E.V. Abdominal tuberculosis: difficulties in diagnosis. Sibirskii meditsinskii zhurnal = Siberian medical. journal. 2006; 1: 5–10.
28. Ghazinoor S. Increased through-transmission in abdominal tuberculous lympadenitis. J. Ultrasound Med. 2004; 23 (6): 837–841.
29. Nazarenko O.R. Sravnitel'naya tsennost' ekhografii v otsenke sostoyaniya organov bryushnoi polosti u detei s ostrym limfoblastnym leikozom. Avtoref. dis. … kand. med. nauk [Comparative Value of Ultrasonography in the Assessment of Abdominal Organs in Children with Acute Lymphoblastic Leukemia. Author’s abstract]. Moscow, 1997. 24 p.
30. Aird I. Acute non-specific mesenteric lymphadenitis. The British Medical Journal. 1945; 2 (4428): 680–682.
31. Andersson R. E. Meta-analysis of the clinical and laboratory diagnosis of appendicitis. Br. J. Surg. 2004; 91 (1): 28–37.
32. Groselj-Grenc M., Repse S., Dolenc-Strazar Z., Hojker S., Derganc M. Interleukin-6 and lipopolysaccharide-binding protein in acute appendicitis in children. Scand. J. Clin. Lab. Invest. 2007; 67 (2): 197–206.
33. Eriksson S., Granstrom L., Olander B., Wretlind B. Sensitivity of interleukin-6 and C-reactive protein concentrations in the diagnosis of acute appendicitis. Eur. J. Surg. 1995; 161: 41–45.
34. Erkasap S., Ates E., Ustuner Z., Sahin A., Yilmaz S., Yasar B., Kiper H. Diagnostic value of interleukin-6 and C-reactive protein in acute appendicitis. Swiss Surgery. 2000; 4: 169–172.
35. Gurleyik G., Gurleyik E., Cetinkaya F., Unalmiser S. Serum interleukin-6 measurement in the diagnosis of acute appendicitis. ANZ J. Surg. 2002; 72: 665–667.
36. Trefanenko D.A. Immunologicheskii status detei s ostrym destruktivnym bryzheechnym limfadenitom [Immunological Status of Children with Acute Destructive Mesenteric Lymphadenitis]. Tezisy Pirogovskoi konferentsii (Abstracts of Pirogov Conference). Moscow, 2003. pp. 127–128.
37. Chia Y. W., Carachi A. A., Armstrong G. W., McGarry G. W., Carrington D. Serum alpha interferon in children with right iliac fossa pain. Journal of the Royal Society of Medicine. 1993; 86: 259–260.
38. Yushchuk N.D., Karetkina G.N. Lymphadenopathy in infectious diseases. Detskie infektsii = Child infections. 2003; 1: 61–66.
39. Campbell J. P. M., Gunn A. A. Plain abdominal radiographs and acute abdominal pain. Br. J. Sung. 1988; 75: 554–556.
40. Franken E. A., Simon C. S. K., Smith W. L. et al. Imaging of the acute abdomen in infants and children. AJR. 1989; 153: 921–928.
41. Joffe N. Radiology of acute appendicitis and its complications. Cnit. Rev. Clin. Radiol. Nucl. Med. 1975; 7: 97–160.
42. Vayner N., Coret A., Polliack G., Weiss B., Hertz M. Mesenteric lymphadenopathy in children examinated by US for chronic and/or recurrent abdominal pain. Pediatr. Radiol. 2003; 33: 864–867.
43. Kessler N., Cyteval C., Gallix B. Appendicitis: evaluation of sensitivity, specificity, and predictive values of US, doppler US, and laboratory findings. Radiology. 2004; 230: 472–478.
44. Quillin S. P., Siegel M. Color doppler US of children with acute lower abdominal pain. RadioGraphics. 1993; 13: 1281–1293.
45. Quillin S. P., Siegel M. J. Appendicitis: efficacy of color Doppler sonography. Radiology. 1994; 191: 557–560.
46. Sivit C. J., Newman K. D., Chandra R. S. Visualization of enlarged mesenteric lymph nodes at US examination: clinical significance. Pediatr. Radiol. 1993; 23: 471–475.
47. Agthe P., Caine A. R., Posch B. et al. Ultrasonographic appearanee of jejunal lymph nodes in dogs without clinical signs of gastrointestinal disease. Vet Radiol. Ultrasound. 2009; 50 (2): 195–200.
48. Kondo N. I., Kohno H. Retained appendicolith in an inflamd appendix. Emergency radiology. 2009; 16 (2): 105–109.
49. Gore R. M., Miller F. H., Peerless S. et al. Helical CT in the evaluation of the acute abdomen. AJR. 2000; 174: 901–913.
50. Macari M., Hines J., Balthazar E., Megibow A. Mesenteric adenitis: CT diagnosis of primary versus secondary causes, incidence, and clinical significance in pediatric and adult patients. AJR. 2002; 178: 853–858.
51. Johnson P. T., Horton K. M., Fishman E. K. Nonvascular mesenteric disease: utility of multidetector CT with 3D volume rendering. Radio Graphics. 2009; 29: 721–740.
52. Grinberg A.A., Mikhailusov S.V., Tronin R.Yu., Drozdov G.E. Diagnostika trudnykh sluchaev ostrogo appenditsita [Diagnosis of Difficult Cases of Acute Appendicitis]. Moscow, Triada-Kh, 1998. 128 p.
53. Dronov A.F., Poddubnyi I.V., Kotlobovskii V.I. Endoskopicheskaya khirurgiya u detei [Endoscopic Surgery in Children]. Moscow, GEOTAR-Media, 2002. 440 p.
54. Bokareva O.M., Kulikova E.A. Structure of acute appendicitis in children. Meditsinskii vestnik Severnogo Kavkaza = Medical bulletin of the North Caucasus. 2009; 1: 83.
55. Kovalev A.I., Tsukanov Yu.T. Shkola neotlozhnoi khirurgicheskoi praktiki [School of Emergency Surgical Practice]. Moscow, Meditsinskaya kniga, 2004. 768 p.
56. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann. Emerg. Med. 1986; 15 (5): 557–564.
57. Samuel M. Pediatric appendicitis score. J. Pediatr. Surg. 2002; 37 (6): 877–881
Review
For citations:
Sologub E.A., Karaseva O.V., Timofeeva A.G. NON-SPECIFIC MESENTERIC LYMPHADENITIS IN CHILDREN (LITERATURE REVIEW). Pediatric pharmacology. 2013;10(1):18-25. https://doi.org/10.15690/pf.v10i1.585