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ACUTE MESENTERIC LYMPHADENITIS

ACUTE MESENTERIC LYMPHADENITIS Abstract ACUTE mesenteric lymphadenitis is a symptom complex characterized by abdominal pain and tenderness. For the patient suspected of having this condition, the presence of acute appendicitis cannot be excluded either by the history, the physical examination or the laboratory findings. Because of this difficulty in differentiation, with rare exceptions operation is urgently indicated when either diagnosis is made. During the five years between July 1, 1941, and Aug. 1, 1946, there were admitted to Duke Hospital 1,604 patients with the symptoms and signs of an acute condition in the abdomen which led to treatment by appendectomy. Of these, 931 had acute appendicitis. The remaining 673 patients had grossly normal appendixes; in this group, no cause for the abdominal pain was found in 185 patients, while 220 patients had one of a large number of diseases, the most common being hemorrhage from a ruptured graafian follicle, pelvic inflammatory disease and gastroenteritis. References 1. Wilensky, A. O.: (a) General Abdominal Lymphadenopathy with Special Reference to Nonspecific Mesenteric Lymphadenitis , Arch. Surg. 42:71-125 ( (Jan.) ) 1941Crossref 2. (b) Chronic Intra-Abdominal Lymphadenopathy with Special Reference to Chronic Nonspecific Mesenteric Adenitis , Surgery 9:787-820 ( (May) ) 1941 3. (c) Acute and Chronic Intra-Abdominal Lymphadenopathy , Surg., Gynec. & Obst. 72:1060-1069 ( (June) ) 1941. 4. Ireland, J.: Etiolgic Factors of Mesenteric Lymphadenitis , Arch. Surg. 36:292-302 ( (Feb.) ) 1938. 5. Lamson, O. F.: Mesenteric Lymphadenitis and Acute Appendicitis , S. Clin. North America 11:1061-1063 ( (Oct.) ) 1931. 6. Speese, J.: Mesenteric Adenitis , Pennsylvania M. J. 32:225-228 ( (Jan.) ) 1929. 7. Coleman, E. P.: Acute Mesenteric Lymphadenitis , Tr. West. S. A. , 1934, p. 129 8. West. J. Surg. 43:193-198 ( (April) ) 1935. 9. Short, A. R.: Symptoms Due to Mesenteric Lymphadenitis , Lancet 2:909-912 ( (Nov. 3) ) 1928. 10. Segar, L. H., and Rosenak, B. D.: Non-Tuberculous Mesenteric Lymphadenitis in Childhood , Am. J. Digest. Dis. 2:356-360 ( (Aug.) ) 1935. 11. Powers, J. H.: Unusual Inflammatory Lesions of Ileocecal Region , Ann. Surg. 103:279-289 ( (Feb.) ) 1936. 12. Porumbaru, I.: Lymphdrüsenentzündung der Ileo-Coecalgegend , Zentralbl. f. Chir. 65:1913-1916 ( (Aug. 27) ) 1938. 13. Luzuy, M.: Syndrome appendeculaire et adenite mesenterique aigue , Rev. de chir., Paris 77:307-310 ( (April) ) 1939. 14. Larghero I. P.: Adenitis supurados del mesenterio , An. Fac. de med. de Montevideo 23:531-584, 1938. 15. Brown, A. E.: Ileocecal Lymphadenitis in Children , Surg., Gynec. & Obst. 65:798-806 ( (Dec.) ) 1937. 16. Klein, W.: Nonspecific Mesenteric Adenitis , Arch. Surg. 36:571-585 ( (April) ) 1938. 17. Gage, I. M., in discussion on Wise, W. D.: Mesenteric Lymphadenitis , Ann. Surg. 109:827-836 ( (May) ) 1939. 18. (a) Heusser, H.: Die Schwellung der mesenterialen Lymphdrüsen , Beitr. z. klin. Chir. 130:85-98, 1924. 19. (b) Von Sassen, W.: Bakterienbefunde bei Lymphadenitis ileocolica simplex , Zentralbl. f. Chir. 66:1832-1835 ( (Aug. 12) ) 1939. 20. (c) Goldberg, S. L., and Nathanson, I. T.: Acute Mesenteric Lymphadenitis , Am. J. Surg. 25:35-40 ( (July) ) 1934. 21. (d) Marshall, C. J.: Simple Ileo-Cecal Lymphadenitis , Brit. M. J. 1:631-632 ( (April 14) ) 1928. 22. Ingegno, A. P.: Syndrome of Acute Mesenteric Lymphadenitis and Its Differentiation from Acute Appendicitis , M. Rec. 148:298-301 ( (Oct. 19) ) 1938. 23. Postlethwait, R. W.; Self, W. O., and Batchelor, R. P.: Nonspecific Mesenteric Lymphadenitis , Am. J. Surg. 57:304-315 ( (Aug.) ) 1942.Crossref 24. Bothe, F. A., and Pote, H. H.: Mesenteric Adenitis Associated with Appendicitis , Internat. Clin. 4:77-88 ( (Dec.) ) 1941. 25. Braithwaite, L. R.: Ileo-Gastric Syndrome , Brit. J. Surg. 30:15-22 ( (July) ) 1942.Crossref 26. Tilley, J. H.: Acute Nonspecific Mesenteric Lymphadenitis , Am. J. Surg. 57:472-476 ( (Sept.) ) 1942.Crossref 27. King, W. E. Acute Nonspecific Mesenteric Adenitis , Am. J. Surg. 64:92-94 ( (April) ) 1944.Crossref 28. Aird, I.: Acute Nonspecific Mesenteric Lymphadenitis , Brit. M. J. 2:680-682 ( (Nov. 17) ) 1945.Crossref 29. Coleman, E. P.: Mesenteric Lymphadenitis , Am. J. Surg. 72:879-882 ( (Dec.) ) 1946.Crossref 30. Gardner, C. E., Jr., and Sapp. C. J.: Atypical Features in Manifestations of Acutely Inflamed, Nonruptured Appendix , Am. J. Surg. 57:477-482 ( (Sept.) ) 1942.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

ACUTE MESENTERIC LYMPHADENITIS

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Publisher
American Medical Association
Copyright
Copyright © 1949 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1949.01240040095007
Publisher site
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Abstract

Abstract ACUTE mesenteric lymphadenitis is a symptom complex characterized by abdominal pain and tenderness. For the patient suspected of having this condition, the presence of acute appendicitis cannot be excluded either by the history, the physical examination or the laboratory findings. Because of this difficulty in differentiation, with rare exceptions operation is urgently indicated when either diagnosis is made. During the five years between July 1, 1941, and Aug. 1, 1946, there were admitted to Duke Hospital 1,604 patients with the symptoms and signs of an acute condition in the abdomen which led to treatment by appendectomy. Of these, 931 had acute appendicitis. The remaining 673 patients had grossly normal appendixes; in this group, no cause for the abdominal pain was found in 185 patients, while 220 patients had one of a large number of diseases, the most common being hemorrhage from a ruptured graafian follicle, pelvic inflammatory disease and gastroenteritis. References 1. Wilensky, A. O.: (a) General Abdominal Lymphadenopathy with Special Reference to Nonspecific Mesenteric Lymphadenitis , Arch. Surg. 42:71-125 ( (Jan.) ) 1941Crossref 2. (b) Chronic Intra-Abdominal Lymphadenopathy with Special Reference to Chronic Nonspecific Mesenteric Adenitis , Surgery 9:787-820 ( (May) ) 1941 3. (c) Acute and Chronic Intra-Abdominal Lymphadenopathy , Surg., Gynec. & Obst. 72:1060-1069 ( (June) ) 1941. 4. Ireland, J.: Etiolgic Factors of Mesenteric Lymphadenitis , Arch. Surg. 36:292-302 ( (Feb.) ) 1938. 5. Lamson, O. F.: Mesenteric Lymphadenitis and Acute Appendicitis , S. Clin. North America 11:1061-1063 ( (Oct.) ) 1931. 6. Speese, J.: Mesenteric Adenitis , Pennsylvania M. J. 32:225-228 ( (Jan.) ) 1929. 7. Coleman, E. P.: Acute Mesenteric Lymphadenitis , Tr. West. S. A. , 1934, p. 129 8. West. J. Surg. 43:193-198 ( (April) ) 1935. 9. Short, A. R.: Symptoms Due to Mesenteric Lymphadenitis , Lancet 2:909-912 ( (Nov. 3) ) 1928. 10. Segar, L. H., and Rosenak, B. D.: Non-Tuberculous Mesenteric Lymphadenitis in Childhood , Am. J. Digest. Dis. 2:356-360 ( (Aug.) ) 1935. 11. Powers, J. H.: Unusual Inflammatory Lesions of Ileocecal Region , Ann. Surg. 103:279-289 ( (Feb.) ) 1936. 12. Porumbaru, I.: Lymphdrüsenentzündung der Ileo-Coecalgegend , Zentralbl. f. Chir. 65:1913-1916 ( (Aug. 27) ) 1938. 13. Luzuy, M.: Syndrome appendeculaire et adenite mesenterique aigue , Rev. de chir., Paris 77:307-310 ( (April) ) 1939. 14. Larghero I. P.: Adenitis supurados del mesenterio , An. Fac. de med. de Montevideo 23:531-584, 1938. 15. Brown, A. E.: Ileocecal Lymphadenitis in Children , Surg., Gynec. & Obst. 65:798-806 ( (Dec.) ) 1937. 16. Klein, W.: Nonspecific Mesenteric Adenitis , Arch. Surg. 36:571-585 ( (April) ) 1938. 17. Gage, I. M., in discussion on Wise, W. D.: Mesenteric Lymphadenitis , Ann. Surg. 109:827-836 ( (May) ) 1939. 18. (a) Heusser, H.: Die Schwellung der mesenterialen Lymphdrüsen , Beitr. z. klin. Chir. 130:85-98, 1924. 19. (b) Von Sassen, W.: Bakterienbefunde bei Lymphadenitis ileocolica simplex , Zentralbl. f. Chir. 66:1832-1835 ( (Aug. 12) ) 1939. 20. (c) Goldberg, S. L., and Nathanson, I. T.: Acute Mesenteric Lymphadenitis , Am. J. Surg. 25:35-40 ( (July) ) 1934. 21. (d) Marshall, C. J.: Simple Ileo-Cecal Lymphadenitis , Brit. M. J. 1:631-632 ( (April 14) ) 1928. 22. Ingegno, A. P.: Syndrome of Acute Mesenteric Lymphadenitis and Its Differentiation from Acute Appendicitis , M. Rec. 148:298-301 ( (Oct. 19) ) 1938. 23. Postlethwait, R. W.; Self, W. O., and Batchelor, R. P.: Nonspecific Mesenteric Lymphadenitis , Am. J. Surg. 57:304-315 ( (Aug.) ) 1942.Crossref 24. Bothe, F. A., and Pote, H. H.: Mesenteric Adenitis Associated with Appendicitis , Internat. Clin. 4:77-88 ( (Dec.) ) 1941. 25. Braithwaite, L. R.: Ileo-Gastric Syndrome , Brit. J. Surg. 30:15-22 ( (July) ) 1942.Crossref 26. Tilley, J. H.: Acute Nonspecific Mesenteric Lymphadenitis , Am. J. Surg. 57:472-476 ( (Sept.) ) 1942.Crossref 27. King, W. E. Acute Nonspecific Mesenteric Adenitis , Am. J. Surg. 64:92-94 ( (April) ) 1944.Crossref 28. Aird, I.: Acute Nonspecific Mesenteric Lymphadenitis , Brit. M. J. 2:680-682 ( (Nov. 17) ) 1945.Crossref 29. Coleman, E. P.: Mesenteric Lymphadenitis , Am. J. Surg. 72:879-882 ( (Dec.) ) 1946.Crossref 30. Gardner, C. E., Jr., and Sapp. C. J.: Atypical Features in Manifestations of Acutely Inflamed, Nonruptured Appendix , Am. J. Surg. 57:477-482 ( (Sept.) ) 1942.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1949

References