Mesenteric lymphadenitis

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Definition

By Mayo Clinic staff

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Illustration showing mesentery
Mesentery

Lymphadenitis is a condition in which your lymph nodes — tissues that help your body fight off illness — become inflamed. Mesenteric lymphadenitis (mez-un-TER-ik lim-fad-uh-NIE-tis) is an inflammation of the lymph nodes in the membrane that attaches your intestine, or bowel, to your abdominal wall (mesentery). Mesenteric lymphadenitis usually results from an intestinal infection.

There are about 26 feet of bowel in your abdominal cavity. The bowel is the only organ in your body that "is free to move about its cavity," but the mesentery limits that movement. If not for the mesentery, the bowel likely would twist upon itself, causing obstruction.

Mesenteric lymphadenitis occurs mainly in children and teens and often mimics the signs and symptoms of appendicitis. Unlike appendicitis, however, mesenteric lymphadenitis is seldom serious and clears on its own.

References
  1. Turnage RH, et al. Abdominal wall, umbilicus, peritoneum, mesenteries, omentum, and retroperitoneum. In: Townsend CM Jr, et al. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 18th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-6/0/1565/0.html. Accessed Nov. 18, 2010.
  2. Murphy JR, et al. Yersinia. In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed Nov. 18, 2010.
  3. Ferri FF. Mesenteric adenitis. In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-05610-6..C2009-0-38600-6--TOP&isbn=978-0-323-05610-6&about=true&uniqId=230100505-53. Accessed Nov. 18, 2010.
  4. Thielman NM. Enteric fever and other causes of abdominal symptoms with fever. In: Mandell GL, et al. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-443-06839-3..X0001-X--TOP&isbn=978-0-443-06839-3&uniqId=230100505-57. Accessed Nov. 18, 2010.
  5. Ansari P. Acute abdominal pain. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/print/sec02/ch011/ch011b.html. Accessed Nov. 18, 2010.
  6. Gage KL. Plague and other Yersinia infections. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/191371208-2/0/1492/0.html#. Accessed Nov. 18, 2010.
  7. Rosenow EC (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 27, 2010.
DS00881 Jan. 4, 2011

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