Mesenteric Adenitis as a Differential Appendicitis Diagnosis: Case Report

作     者：Vinicius Moreira Paladino Thiago Sande Miguel Bruna Sande Miguel Marcia Machado Galvao Pereira Fernando Antonio Galvao Pereira Junior Carolina Galvao Teixeira Caroline Guida Babinski Naryrton Kalys Cruz dos Anjos Daniel Almeida da Costa Debora Trindade Martins Bruno Fonseca dos Santos 

作者机构：The Medical School at the Center of Higher Education of ValencaValencaBrazil Unigranrio Medical SchoolRio de JaneiroBrazil Suprema medical SchoolJuiz de ForaBrazil 

出 版 物：《Journal of Biosciences and Medicines》 (生物科学与医学（英文）)

年 卷 期：2018年第6卷第3期

页      面：26-30页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Mesenteric Adenitis Appendicitis Case Report 

摘      要：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.