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Mesenteric Lymphadenopathy

  • Giovanni Maconi
Chapter
Part of the Medical Radiology book series (MEDRAD)

Abstract

Enlargement of mesenteric lymph nodes is a common sonographic finding, in particular in children and young adults. It may be the manifestation of various clinical disorders, mainly malignant, immunological or infectious diseases. However, normal mesenteric lymph nodes are often incidentally detected by ultrasound and should not be misdiagnosed as an early manifestation of pathological conditions. The distinction between normal and abnormal mesenteric lymph nodes, and the differential diagnosis among various neoplastic, inflammatory and infectious causes of mesenteric lymphadenitis are shown in the present chapter.

Keywords

Human Immunodeficiency Virus Primary Biliary Cirrhosis Familial Mediterranean Fever Mesenteric Lymph Node Mycobacterium Avium Complex 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Calguneri M, Ozturk MA, Ozbalkan Z et al (2003) Frequency of lymphadenopathy in rheumatoid arthritis and systemic lupus erythematosus. J Int Med Res 31:345–349PubMedCrossRefGoogle Scholar
  2. Fraquelli M, Colli A, Colucci A et al (2004) Accuracy of ultrasonography in predicting celiac disease. Arch Intern Med 64:169–174CrossRefGoogle Scholar
  3. Freeman HJ (2010) Mesenteric lymph node cavitation syndrome. World J Gastroenterol 16:2991–2993PubMedCrossRefGoogle Scholar
  4. Görg C, Weide R, Schwerk WB (1995) Ultrasound assessment of extranodal abdominal lymphoma involvement: an overview. Bildgebung 62:102–108PubMedGoogle Scholar
  5. Gorg C, Weide R, Gorg K, Restrepo I (1996a) Ultrasound manifestations of abdominal lymphomas. An overview. Ultraschall Med 17:179–184CrossRefGoogle Scholar
  6. Gorg C, Weide R, Schwerk WB (1996b) Sonographic patterns in extranodal abdominal lymphomas. Eur Radiol 6:855–864PubMedCrossRefGoogle Scholar
  7. Hermans MM, Klinkhamer P, Stronkhorst A, Creemers GJ (2001) Malabsorption syndrome in a patient of Mediterranean origin; immunoproliferative small intestinal disease. Neth J Med 58:208–213PubMedCrossRefGoogle Scholar
  8. Hocke M, Menges M, Topalidis T, Dietrich CF, Stallmach A (2008) Contrast-enhancedendoscopic ultrasound in discrimination between benign and malignant mediastinal and abdominal lymph nodes. J Cancer Res Clin Oncol 134:473–480PubMedCrossRefGoogle Scholar
  9. Hollerweger A, Macheiner P, Neureiter D, Dietze O (2008) Uncommon cystic appearance of lymph nodes in malignant lymphoma. Ultraschall Med 29:308–310PubMedCrossRefGoogle Scholar
  10. Karmazyn B, Werner EA, Rejaie B, Applegate KE (2005) Mesenteric lymph nodes in children: what is normal? Pediatr Radiol 35:774–777PubMedCrossRefGoogle Scholar
  11. Kedar RP, Shah PP, Shivde RS, Malde HM (1994) Sonographic findings in gastrointestinal and peritoneal tuberculosis. Clin Radiol 49:24–29PubMedCrossRefGoogle Scholar
  12. Keer D, Jeon P, Borganonkar M, Potoczny S (2010) Calcified cavitating mesenteric lymph node syndrome: case presentation and literature review. Can J Gastroenterol 24:355–358PubMedGoogle Scholar
  13. Koh DM, Burn PR, Mathews G, Nelson M, Healy JC (2003) Abdominal computed tomographic findings of Mycobacterium tuberculosis and Mycobacterium avium intracellulare infection in HIV seropositive patients. Can Assoc Radiol J 54:45–50PubMedGoogle Scholar
  14. Lee MW, Kim YJ, Jeon HJ et al (2009) Sonography of acute right lower quadrant pain: importance of increased intraabdominal fat echo. AJR Am J Roentgenol 192:174–179PubMedCrossRefGoogle Scholar
  15. Lucey BC, Stuhlfaut JW, Soto JA (2005) Mesenteric lymph nodes: detection and significance on MDCT. AJR Am J Roentgenol 184:41–44PubMedCrossRefGoogle Scholar
  16. Macari M, Hines J, Balthazar E et al (2002) Mesenteric adenitis: CT diagnosis of primary versus secondary causes, incidence, and clinical significance in pediatric and adult patients. AJR Am J Roentgenol 178:853–858PubMedCrossRefGoogle Scholar
  17. Maconi G, Di Sabatino A, Ardizzone S et al (2005) Prevalence and clinical significance of sonographic detection of enlarged regional lymph nodes in Crohn’s disease. Scand J Gastroenterol 40:1328–1333PubMedGoogle Scholar
  18. Malik A, Saxena NC (2003) Ultrasound in abdominal tuberculosis. Abdom Imaging 28:574–579PubMedCrossRefGoogle Scholar
  19. Neumann-Silkow H, Görg C (2010) Differentiation of abdominal lymphadenoptahy with power Doppler sonography. Rofo 182:229–234PubMedCrossRefGoogle Scholar
  20. Puylaert JB (1986) Mesenteric adenitis and acute terminal ileitis: US evaluation using graded compression. Radiology 161:691–695PubMedGoogle Scholar
  21. Puylaert JB, Van der Zant FM, Mutsaers JA (1997) Infectious ileocecitis caused by Yersinia, Campylobacter, and Salmonella: clinical, radiological and US findings. Eur Radiol 7:3–9PubMedCrossRefGoogle Scholar
  22. Radin R (1995) HIV infection: analysis in 259 consecutive patients with abnormal abdominal CT findings. Radiology 197:712–722PubMedGoogle Scholar
  23. Rao PM, Rhea JT, Novelline RA (1997) CT diagnosis of mesenteric adenitis. Radiology 202:145–149Google Scholar
  24. Schmitz F, Herzig KH, Stuber E et al (2002) On the pathogenesis and clinical course of mesenteric lymph node cavitation and hyposplenism in coeliac disease. Int J Colorectal Dis 17:192–198PubMedCrossRefGoogle Scholar
  25. Sivit CJ, Newman KD, Chandra RS (1993) Visualization of enlarged mesenteric lymph nodes at US examination. Pediatr Radiol 23:471–475PubMedCrossRefGoogle Scholar
  26. Tarantino L, Giorgio A, de Stefano Farella N, Perrotta A, Esposito F (2003) Disseminated mycobacterial infection in AIDS patients: abdominal US features and value of fine-needle aspiration biopsy of lymph nodes and spleen. Abdom Imaging 28:602–608PubMedCrossRefGoogle Scholar
  27. Tarjan Z, Toth G, Gyorke T, Mester A, Karlinger K, Mako EK (2000) Ultrasound in Crohn’s disease of the small bowel. Eur J Radiol 35:176–182PubMedCrossRefGoogle Scholar
  28. Tinsa F, Essaddam L, Fitouri Z et al (2010) Abdominal tuberculosis in children. J Pediatr Gastroenterol Nutr 50:634–638PubMedCrossRefGoogle Scholar
  29. Toorenvliet B, Vellekoop A, Bakker R et al (2011) Clinical differentiation between acute appendicitis and acute mesenteric lymphadenitis in children. Eur J Pediatr Surg 21:120–123PubMedCrossRefGoogle Scholar
  30. Trommer G, Bewer A, Kosling S (1998) Mesenteric lymphadenopathy in Yersinia enterocolitica infection. Radiologe 38:37–40PubMedCrossRefGoogle Scholar
  31. Vayner N, Coret A, Polliack G et al (2003) Mesenteric lymphadenopathy in children examined by US for chronic and/or recurrent abdominal pain. Pediatr Radiol 33:864–867PubMedCrossRefGoogle Scholar
  32. Watanabe M, Ishii E, Hirowatari Y et al (1997) Evaluation of abdominal lymphadenopathy in children by ultrasonography. Pediatr Radiol 27:860–864PubMedCrossRefGoogle Scholar
  33. Zissin R, Rathaus V, Gayer G, Shapiro-Feinberg M, Hertz M (2003) CT findings in patients with familial Mediterranean fever during an acute abdominal attack. Br J Radiol 76:22–25PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of Clinical SciencesL. Sacco University HospitalMilanItaly

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