Mesenteric Adenitis as a Differential Appendicitis Diagnosis: Case Report

• 作者: Bruna Sande Miguel Bruno Fonseca dos Santos Carolina Galv?o Teixeira Caroline Guida Babinski Daniel Almeida da Costa Débora Trindade Martins Fernando Antonio Galv?o Pereira Junior Marcia Machado Galv?o Pereira Naryrton Kalys Cruz dos Anjos Thiago Sande Miguel Vinícius Moreira Paladino
• 来源期刊: 生物科学与医学(英文)
• 学科: 医学
• 关键词: MESENTERIC ADENITIS APPENDICITIS Case Report
• 年，卷（期）: swkxyyxyw_2018,（3）
• 页码范围: 26-30
• 页数: 5页
• 分类号: R73

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.