A modern view on the differential diagnosis of ultrasound characteristics of lymph nodes in mesadenitis in children
https://doi.org/10.21518/ms2023-269
Abstract
Mesadenitis (mesenteric lymphadenitis, mesenteritis) is a common cause of acute abdominal pain syndrome in children. At the same time, the cause of acute mesadenitis is far from being established in all cases. Diagnosis of mesenteric lymphadenitis presents a certain problem. Differential diagnosis is always carried out with acute surgical diseases of the abdominal cavity, primarily with acute appendicitis. Special attention is paid to ultrasound examination in the diagnosis of mesadenitis. Given the absence of statistically proven diagnostic criteria for changes in abdominal lymph nodes in mesadenitis, it is relevant to determine their ultrasound characteristics. The article is presented in the form of a lecture for practicing pediatricians based on a literature review. The characteristics of mesentery lymph nodes in various pathological processes are collected from various sources. The features of ultrasound characteristics of mesenteric lymph nodes in normal and acute mesadenitis with herpes infection, coronavirus infection, tuberculosis, as well as features of lymph nodes with lymphogranuloma are presented. A table has been developed that indicates such characteristics as the shape, number of lymph nodes in the section, echogenicity, blood flow status, capsule, contour, as well as additional characteristics in some conditions (such as the tendency to form conglomerates or the presence of calcinates in the structure of lymph nodes in tuberculosis lesions). A detailed description of the lymph nodes makes it possible to conduct a preliminary differential diagnosis of mesadenitis using ultrasound, which makes it possible to determine the vector of further diagnostic search in children with acute abdominal syndrome, and then to select pathogenetically justified therapeutic tactics and preventive measures.
About the Authors
S. S. Nikitin
Petrozavodsk State University;
Children’s Republican Hospital named after I.N. Grigovich
Russian Federation
Russian Federation
Sergei S. Nikitin, Dr. Sci. (Med.), Professor of the Center for Postgraduate Education of the Medical Institute, Petrozavodsk State University; Head of the Surgical Department and of the Center for Pediatric Urology, Andrology and Nephrol ogy, Children’s Republican Hospital named after I.N. Grigovich
33, Lenin Ave., Petrozavodsk, 185002,
58, Parkovaya St., Petrozavodsk, 185002
N. B. Guseva
Pirogov Russian National Research Medical University;
Children’s City Clinical Hospital No. 9 named after G.N. Speransky;
Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Natalia B. Guseva, Dr. Sci. (Med.), Head of the Moscow City Center of Pediatric Urology, Andrology and Pathology of Pelvic Organs, Children’s City Clinical Hospital No. 9 named after G.N. Speransky; Chief Researcher of the Department of Pediatric, Pirogov Russian National Research Medical University; Professor of the Department of Pediatric named after G.N. Speransky, Russian Medical Academy of Continuing Professional Education
29, Shmitovskiy Proezd, Moscow,123317,
2, Taldomskaya St., Moscow, 125412,
28, Geroev Panfilovtsev St., Moscow, 125373
A. A. Kartseva
Petrozavodsk State University
Russian Federation
Russian Federation
Alina A. Kartseva, Clinical Resident of the Department of Pediatrics and Pediatric Surgery of the Medical Institute
33, Lenin Ave., Petrozavodsk, 185002
M. V. Lepiseva
Children’s Republican Hospital named after I.N. Grigovich
Russian Federation
Russian Federation
Mikhail V. Leukhin, Ultrasound Diagnostics Doctor
58, Parkovaya St., Petrozavodsk, 185002
I. V. Lepiseva
Children’s Republican Hospital named after I.N. Grigovich
Russian Federation
Russian Federation
Inga V. Lepiseva, Chief Physician
58, Parkovaya St., Petrozavodsk, 185002
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For citations:
Nikitin SS, Guseva NB, Kartseva AA, Lepiseva MV, Lepiseva IV. A modern view on the differential diagnosis of ultrasound characteristics of lymph nodes in mesadenitis in children. Meditsinskiy sovet = Medical Council. 2023;(17):231-237. (In Russ.) https://doi.org/10.21518/ms2023-269
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