Mesenteric Adenitis in Children: Understanding Symptoms, Causes, and Management

Mesenteric adenitis is a condition that primarily affects children and adolescents, causing abdominal discomfort and sometimes mimicking appendicitis.

Symptoms in Children

Abdominal Pain: Usually localized in the lower right quadrant or around the belly button. The pain may be intermittent or persistent.

Fever: Many children develop a fever along with the abdominal symptoms.

Gastrointestinal Symptoms: Some children may also have gastrointestinal symptoms such as nausea, vomiting, diarrhoea, or constipation.

Lethargy and Irritability: Due to discomfort and illness, children may appear lethargic, tired, or irritable.

Causes and Risk Factors

Viral Infections and Bacterial Infections: Infections lead to inflammation of the mesenteric lymph nodes.

Age: Mesenteric adenitis is more prevalent in children and young adults, although it can occur at any age.

Diagnosis and Evaluation

Clinical Assessment: A healthcare provider will perform a thorough physical examination, focusing on abdominal tenderness and palpation of lymph nodes.

Laboratory Tests: Blood tests may be conducted to check for signs of infection, such as elevated white blood cell count and inflammatory markers.

Imaging Studies: Imaging techniques like ultrasound, CT scan, or MRI may be used to visualize the abdomen and assess lymph node enlargement.

Treatment and Management

Symptomatic Relief: Treatment aims to alleviate symptoms. Pain relievers and antipyretics can help manage abdominal pain and fever.

Hydration and Rest: Adequate fluid intake and rest are essential for children with mesenteric adenitis to support recovery.

Monitoring: Regular monitoring of symptoms, temperature, and overall well-being is important to track progress and ensure proper management.

Follow-Up: Children should follow up with their healthcare provider for ongoing evaluation and management, especially if symptoms persist or worsen.

In most cases, mesenteric adenitis in children resolves without complications with appropriate care and time. It’s crucial to differentiate it from appendicitis or other serious conditions that may require immediate intervention. With proper diagnosis and management, children can recover well from mesenteric adenitis and resume their normal activities.

Dr. Prathibha Sukumar
Consultant Paediatric Surgeon
SUT Hospital, Pattom