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Paediatrics: Mesenteric adenitis

Mesenteric adentitis (MeA) is a condition that mimics acute appendicitis.

Mesenteric adenitis

 

Mesenteric adentitis (MeA) is a condition that mimics acute appendicitis. It is usually the result of an intercurrent viral infection. Children with MeA typically present with:

fever;

 

malaise;

 

central abdominal pain.

 

Diagnosis

 

Usually a period of observation is necessary during which time the symptoms remain static or improve rather than progress as would be expected with appendicitis.

 

MeA accounts for the majority of children who undergo a normal appendicectomy. After surgery the post-operative course is usually uneventful.

 

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Paediatrics: Paediatric Surgery


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