TITLE:
Mesenteric Adenitis as a Differential Appendicitis Diagnosis: Case Report
AUTHORS:
Vinícius Moreira Paladino, Thiago Sande Miguel, Bruna Sande Miguel, Marcia Machado Galvão Pereira, Fernando Antonio Galvão Pereira Junior, Carolina Galvão Teixeira, Caroline Guida Babinski, Naryrton Kalys Cruz dos Anjos, Daniel Almeida da Costa, Débora Trindade Martins, Bruno Fonseca dos Santos
KEYWORDS:
Mesenteric Adenitis, Appendicitis, Case Report
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.6 No.3,
March
14,
2018
ABSTRACT: 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.