Paediatrics: Mesenteric adenitis

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.