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Mesenteric Adenitis and Enteritis
Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Benign inflammation of lymph nodes in ileal mesentery, often with terminal ileitis

            IMAGING

            • General Features

              • Imaging Recommendations

                • Radiographic Findings

                  • Ultrasonographic Findings

                    • CT Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. Mehmood A et al: Acute mesenteric tuberculous lymphadenitis: a comparative analysis of twenty-one cases. Cureus. 11(4):e4454, 2019
                                    2. Benetti C et al: Course of acute nonspecific mesenteric lymphadenitis: single-center experience. Eur J Pediatr. 177(2):243-6, 2018
                                    3. Chizinga M et al: Mesenteric lymphadenitis as a presenting feature of Whipple's disease. IDCases. 9:50-2, 2017
                                    4. Helbling R et al: Acute nonspecific mesenteric lymphadenitis: more than "no need for surgery". Biomed Res Int. 2017:9784565, 2017
                                    5. Patlas MN et al: Cross-sectional imaging of nontraumatic peritoneal and mesenteric emergencies. Can Assoc Radiol J. 64(2):148-53, 2013
                                    6. Toorenvliet B et al: Clinical differentiation between acute appendicitis and acute mesenteric lymphadenitis in children. Eur J Pediatr Surg. 21(2):120-3, 2011
                                    7. Lee MW et al: Sonography of acute right lower quadrant pain: importance of increased intraabdominal fat echo. AJR Am J Roentgenol. 192(1):174-9, 2009
                                    8. Pickhardt PJ et al: Unusual nonneoplastic peritoneal and subperitoneal conditions: CT findings. Radiographics. 25(3):719-30, 2005
                                    9. Rao PM et al: CT diagnosis of mesenteric adenitis. Radiology. 202(1):145-9, 1997
                                    10. Puylaert JB: Mesenteric adenitis and acute terminal ileitis: US evaluation using graded compression. Radiology. 161(3):691-5, 1986
                                    11. Frisch M et al: Appendicitis, mesenteric lymphadenitis, and subsequent risk of ulcerative colitis: cohort studies in Sweden and Denmark. BMJ. 2009 Mar 9;338:b716. doi: 10. PubMed Central PMCID: PMC2659291, 1136
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Definitions

                                                • Benign inflammation of lymph nodes in ileal mesentery, often with terminal ileitis

                                              IMAGING

                                              • General Features

                                                • Imaging Recommendations

                                                  • Radiographic Findings

                                                    • Ultrasonographic Findings

                                                      • CT Findings

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. Mehmood A et al: Acute mesenteric tuberculous lymphadenitis: a comparative analysis of twenty-one cases. Cureus. 11(4):e4454, 2019
                                                                      2. Benetti C et al: Course of acute nonspecific mesenteric lymphadenitis: single-center experience. Eur J Pediatr. 177(2):243-6, 2018
                                                                      3. Chizinga M et al: Mesenteric lymphadenitis as a presenting feature of Whipple's disease. IDCases. 9:50-2, 2017
                                                                      4. Helbling R et al: Acute nonspecific mesenteric lymphadenitis: more than "no need for surgery". Biomed Res Int. 2017:9784565, 2017
                                                                      5. Patlas MN et al: Cross-sectional imaging of nontraumatic peritoneal and mesenteric emergencies. Can Assoc Radiol J. 64(2):148-53, 2013
                                                                      6. Toorenvliet B et al: Clinical differentiation between acute appendicitis and acute mesenteric lymphadenitis in children. Eur J Pediatr Surg. 21(2):120-3, 2011
                                                                      7. Lee MW et al: Sonography of acute right lower quadrant pain: importance of increased intraabdominal fat echo. AJR Am J Roentgenol. 192(1):174-9, 2009
                                                                      8. Pickhardt PJ et al: Unusual nonneoplastic peritoneal and subperitoneal conditions: CT findings. Radiographics. 25(3):719-30, 2005
                                                                      9. Rao PM et al: CT diagnosis of mesenteric adenitis. Radiology. 202(1):145-9, 1997
                                                                      10. Puylaert JB: Mesenteric adenitis and acute terminal ileitis: US evaluation using graded compression. Radiology. 161(3):691-5, 1986
                                                                      11. Frisch M et al: Appendicitis, mesenteric lymphadenitis, and subsequent risk of ulcerative colitis: cohort studies in Sweden and Denmark. BMJ. 2009 Mar 9;338:b716. doi: 10. PubMed Central PMCID: PMC2659291, 1136