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ACUTE NONSPECIFIC MESENTERIC LYMPHADENITIS: Possible Mechanism of Pain Illustrated by Two Cases

ACUTE NONSPECIFIC MESENTERIC LYMPHADENITIS: Possible Mechanism of Pain Illustrated by Two Cases Abstract ACUTE nonspecific mesenteric lymphadenitis is a common cause of pain in the abdomen of children. Notwithstanding Aird's1 plea, made in 1945, for a wider recognition of this condition, it is still infrequently diagnosed; this is probably due to the fact that despite a typical clinical picture and a constant macroscopical pathology the etiology of the lesion is unknown. Accurate diagnosis can be achieved in a large percentage of cases provided there is a clear conception of the condition. Aird1 stated: "A considerable number of children in whom a diagnosis of non-specific adenitis has been made in the outpatient department were not admitted, but were confidently allowed to go home." AGE INCIDENCE Acute mesenteric lymphadenitis occurs most commonly between the ages of 3 and 15 years, with a peak incidence at both extremities of this age group. It is in the younger patients—3 to 6 years—that the greatest difficulty References 1. Aird, I.: Acute Non-Specific Mesenteric Lymphadenitis , Brit. M. J. 2:680-682 ( (Nov. 17) ) 1945.Crossref 2. Adams, W. E., and Olney, M. B.: Mesenteric Lymphadenitis and the Acute Abdomen: Report of 13 Cases , Ann. Surg. 107:359-370 ( (March) ) 1938.Crossref 3. Klein, W.: Nonspecific Mesenteric Adenitis: Report of 140 Cases , Arch. Surg. 36:571-585 ( (April) ) 1938.Crossref 4. Rosenburg, S.: Nonspecific Mesenteric Lymphadenitis: Report of 75 Cases , Arch Surg. 35:1031-1044 ( (Dec.) ) 1937.Crossref 5. Foster, A. K., Jr.: Disease of Mesenteric Lymph Nodes: Its Relation to Appendicitis, Gastro-Intestinal Infections and Generalized Diseases; Report of 123 Cases; Possible Etiology and Treatment , Arch. Surg. 36:28-52 ( (Jan.) ) 1938.Crossref 6. Ireland, J.: Etiologic Factors of Mesenteric Lymphadenitis , Arch. Surg. 36:292-302 ( (Feb.) ) 1938.Crossref 7. Maingot, R.: Abdominal Operations , Ed. 2, London, H. K. Lewis & Co., Ltd., 1948, p. 950. 8. Gill, W. G.: Multiple Intussusceptions in a Child , Brit. J. Surg. 25:707 ( (Jan.) ) 1938.Crossref 9. MacKeith, R., and O'Neill, D.: Recurrent Abdominal Pain in Children , Lancet 2:278-282 ( (Aug. 18) ) 1951.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

ACUTE NONSPECIFIC MESENTERIC LYMPHADENITIS: Possible Mechanism of Pain Illustrated by Two Cases

A.M.A. Archives Surgery , Volume 65 (6) – Dec 1, 1952

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Publisher
American Medical Association
Copyright
Copyright © 1952 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1952.01260020900016
Publisher site
See Article on Publisher Site

Abstract

Abstract ACUTE nonspecific mesenteric lymphadenitis is a common cause of pain in the abdomen of children. Notwithstanding Aird's1 plea, made in 1945, for a wider recognition of this condition, it is still infrequently diagnosed; this is probably due to the fact that despite a typical clinical picture and a constant macroscopical pathology the etiology of the lesion is unknown. Accurate diagnosis can be achieved in a large percentage of cases provided there is a clear conception of the condition. Aird1 stated: "A considerable number of children in whom a diagnosis of non-specific adenitis has been made in the outpatient department were not admitted, but were confidently allowed to go home." AGE INCIDENCE Acute mesenteric lymphadenitis occurs most commonly between the ages of 3 and 15 years, with a peak incidence at both extremities of this age group. It is in the younger patients—3 to 6 years—that the greatest difficulty References 1. Aird, I.: Acute Non-Specific Mesenteric Lymphadenitis , Brit. M. J. 2:680-682 ( (Nov. 17) ) 1945.Crossref 2. Adams, W. E., and Olney, M. B.: Mesenteric Lymphadenitis and the Acute Abdomen: Report of 13 Cases , Ann. Surg. 107:359-370 ( (March) ) 1938.Crossref 3. Klein, W.: Nonspecific Mesenteric Adenitis: Report of 140 Cases , Arch. Surg. 36:571-585 ( (April) ) 1938.Crossref 4. Rosenburg, S.: Nonspecific Mesenteric Lymphadenitis: Report of 75 Cases , Arch Surg. 35:1031-1044 ( (Dec.) ) 1937.Crossref 5. Foster, A. K., Jr.: Disease of Mesenteric Lymph Nodes: Its Relation to Appendicitis, Gastro-Intestinal Infections and Generalized Diseases; Report of 123 Cases; Possible Etiology and Treatment , Arch. Surg. 36:28-52 ( (Jan.) ) 1938.Crossref 6. Ireland, J.: Etiologic Factors of Mesenteric Lymphadenitis , Arch. Surg. 36:292-302 ( (Feb.) ) 1938.Crossref 7. Maingot, R.: Abdominal Operations , Ed. 2, London, H. K. Lewis & Co., Ltd., 1948, p. 950. 8. Gill, W. G.: Multiple Intussusceptions in a Child , Brit. J. Surg. 25:707 ( (Jan.) ) 1938.Crossref 9. MacKeith, R., and O'Neill, D.: Recurrent Abdominal Pain in Children , Lancet 2:278-282 ( (Aug. 18) ) 1951.Crossref

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Dec 1, 1952

References

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