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An uncommon case of purulent mesenteric lymphadenitis


Authors: M. Linter Kapišinská;  A. Ferko
Authors‘ workplace: Chirurgická klinika Fakultní nemocnice Hradec Králové, přednosta: doc. MUDr. Z. Šubrt, Ph. D
Published in: Rozhl. Chir., 2016, roč. 95, č. 11, s. 406-408.
Category: Case Report

Overview

The authors present a case of a middle-aged female with large isolated mesenteric lymphadenitis. Abdominal ultrasonography undertaken as a preventive assessment revealed a solid tumour mass in the left mesogastrium, sized 70x55x55 mm. A solid abdominal tumour such as a GIST or sarcoma was considered and the patient underwent elective laparoscopic surgery. The tumour was completely removed. Histopathological examination confirmed an unexpected result of nonspecific purulent mesenteric lymphadenitis. The authors discuss potential causes of mesenteric lymphadenitis.

Key words:
abdominal tumour − mesenteric lymphadenopathy − purulent lymphadenitis – solitary lymphadenopathy


Sources

1. Viallard JF, Parrens M, Lazaro E, et al. Subacute necrotizing lymphadenitis or Kikuchi-Fujimoto disease. Press Med 2007;36:1683–93.

2. Hino H, Nishimura T, Nitadori J, et al. An uncommon presentation of Kikuchi–Fujimoto disease as mediastinal lymphadenopathy. J Thorac Dis 2016;8:E330–3.

3. Vassos N, Raptis D, Lell M, et al. Intra – abdominal localized hyaline – vascular Castleman disease: imaging characteristics and management of a rare condition. Arch Med Sci 2016;12:227–32.

4. Lucey BC, Stuhlfaut JW, Soto JA. Mesenteric lymph nodes seen at imaging: causes and significance. Radiographics 2005;25:351–65.

Labels
Surgery Orthopaedics Trauma surgery
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