Mesenteric adenitis consists of an important differential diagnosis of potentially serious diseases such as acute appendicitis, since they manifest themselves with a similar clinical picture. Case report: A 17-year-ol...Mesenteric adenitis consists of an important differential diagnosis of potentially serious diseases such as acute appendicitis, since they manifest themselves with a similar clinical picture. Case report: A 17-year-old male patient presented with periumbilical abdominal pain for 2 days, of abrupt onset and moderate intensity, who gave away with a common analgesic, which progressed to the right iliac fossa (RIF) and increased of intensity. He also reported liquid diarrhea, with several episodes a day, without mucus and/or blood, 38°C fever, anorexia and vomiting. He was hospitalized for investigating a possible diagnostic of Acute Appendicitis. In the exams, it was considered mesenteric adenitis, and antibiotic therapy was prescribed. The patient had complete improvement at the end of treatment. Conclusions: Given its importance as a differential diagnosis of numerous pathologies, as well as controversial before the therapeutic and diagnostic conduct, it is essential to report these cases in order to elucidate the specificities of this disease.展开更多
BACKGROUND Acute appendicitis with mesenteric vein thrombosis(MVT)is an uncommon condition and usually lacks specific clinical manifestations,which leads to a high rate of misdiagnosis or delayed diagnosis,especially ...BACKGROUND Acute appendicitis with mesenteric vein thrombosis(MVT)is an uncommon condition and usually lacks specific clinical manifestations,which leads to a high rate of misdiagnosis or delayed diagnosis,especially when it is accompanied by other abdominal diseases.Prompt and accurate recognition is vital for treatment and prognosis.CASE SUMMARY A 37-year-old woman had a history of acute metastatic right lower abdominal pain,nausea,and fever.A contrast-enhanced computed tomography(CT)scan showed a filling defect in the mesenteric vessels.The patient was diagnosed with acute appendicitis complicated by MVT and was treated with anticoagulation and intravenous antibiotics.The follow-up CT scan showed full resolution of the thrombosis and inflammation.CONCLUSION Clinical awareness is essential for recognizing MVT,especially when it is accompanied by other common acute abdominal diseases,such as acute appendicitis.Contrast-enhanced CT is helpful for the diagnosis of MVT and is recommended for patients with acute abdominal diseases.展开更多
目的:探讨C-反应蛋白(CRP)在急诊中鉴别小儿肠系膜淋巴结炎与急性阑尾炎中的意义。方法:回顾性分析2002年1月～2012年1月因急性腹痛就诊我院,而后确诊为肠系膜淋巴结炎或急性阑尾炎的患儿临床资料。结果:确诊为急性阑尾炎的患儿CRP明显...目的:探讨C-反应蛋白(CRP)在急诊中鉴别小儿肠系膜淋巴结炎与急性阑尾炎中的意义。方法:回顾性分析2002年1月～2012年1月因急性腹痛就诊我院,而后确诊为肠系膜淋巴结炎或急性阑尾炎的患儿临床资料。结果:确诊为急性阑尾炎的患儿CRP明显升高,而确诊为肠系膜淋巴结炎的患儿CRP阳性率为4.2%,两者绝对值比较差异具有统计学意义(17.3±10.4mg/L versus 6.4±2.8mg/L;P<0.01)。结论:在急诊中,CRP可以作为初步鉴别小儿肠系膜淋巴结炎与急性阑尾炎的一项快速有效的检查。展开更多
文摘Mesenteric adenitis consists of an important differential diagnosis of potentially serious diseases such as acute appendicitis, since they manifest themselves with a similar clinical picture. Case report: A 17-year-old male patient presented with periumbilical abdominal pain for 2 days, of abrupt onset and moderate intensity, who gave away with a common analgesic, which progressed to the right iliac fossa (RIF) and increased of intensity. He also reported liquid diarrhea, with several episodes a day, without mucus and/or blood, 38°C fever, anorexia and vomiting. He was hospitalized for investigating a possible diagnostic of Acute Appendicitis. In the exams, it was considered mesenteric adenitis, and antibiotic therapy was prescribed. The patient had complete improvement at the end of treatment. Conclusions: Given its importance as a differential diagnosis of numerous pathologies, as well as controversial before the therapeutic and diagnostic conduct, it is essential to report these cases in order to elucidate the specificities of this disease.
文摘BACKGROUND Acute appendicitis with mesenteric vein thrombosis(MVT)is an uncommon condition and usually lacks specific clinical manifestations,which leads to a high rate of misdiagnosis or delayed diagnosis,especially when it is accompanied by other abdominal diseases.Prompt and accurate recognition is vital for treatment and prognosis.CASE SUMMARY A 37-year-old woman had a history of acute metastatic right lower abdominal pain,nausea,and fever.A contrast-enhanced computed tomography(CT)scan showed a filling defect in the mesenteric vessels.The patient was diagnosed with acute appendicitis complicated by MVT and was treated with anticoagulation and intravenous antibiotics.The follow-up CT scan showed full resolution of the thrombosis and inflammation.CONCLUSION Clinical awareness is essential for recognizing MVT,especially when it is accompanied by other common acute abdominal diseases,such as acute appendicitis.Contrast-enhanced CT is helpful for the diagnosis of MVT and is recommended for patients with acute abdominal diseases.
文摘目的:探讨C-反应蛋白(CRP)在急诊中鉴别小儿肠系膜淋巴结炎与急性阑尾炎中的意义。方法:回顾性分析2002年1月～2012年1月因急性腹痛就诊我院,而后确诊为肠系膜淋巴结炎或急性阑尾炎的患儿临床资料。结果:确诊为急性阑尾炎的患儿CRP明显升高,而确诊为肠系膜淋巴结炎的患儿CRP阳性率为4.2%,两者绝对值比较差异具有统计学意义(17.3±10.4mg/L versus 6.4±2.8mg/L;P<0.01)。结论:在急诊中,CRP可以作为初步鉴别小儿肠系膜淋巴结炎与急性阑尾炎的一项快速有效的检查。
