Sonografi destekli yorumlama: Semptomatik çocuklarda insidental bulunan mezenterik lenfadenitin anlamı var mı?

Giriş ve Amaç: Karın ağrısı nedeni ile acil servise başvuran çocuk hastalarda mezenterik lenfadenit (ML) sık rastlanır. Bu çalışmanın amacı ultrasonografi (US) ile tanımlana ML’nın birliktelik gösterdiği karın patolojilerini belirlemektir. Gereç ve Yöntemler: Ortalama yaşı 9 olan 104’ü erkek toplam 158 hastanın klinik, laboratuar ve radyolojik bulguları tekrar değerlendirildi. Bulgular: US ile tanımlanan ML en sık yerleşim yeri sağ alt kadrandı (%86). ML en sık birliktelik gösterdiği patoloji %50 oranında nonspesifik karın ağrısıydı (NSKA). ML ölçümlerinin, yerleşiminin cinsiyet, yaş ve karın patolojisi ile bağlantısı yoktu. Sonuç: Çocuklarda acil servise başvuru gerektiren karın ağrısında, US ile yapılan karın incelemesinde saptanan ML saptanan tek bulgu olabilir. ML varlığı, NSKA ile ilişkili olabilir.

Anahtar Kelimeler:

karın ağrısı, mzeznterik lenfadenit, ultrason, çocuklar

Sonography-Assisted Interpretation: Is There Any Meaning of Mesenteric Lymphadenitis Found Incidentally In Symptomatic Children?

Objective: Mesenteric lymphadenitis (ML) is common in pediatric patients admitted to the emergency room with abdominal pain. The aim of this study is to determine abdominal pathologies associated with ML defined by ultrasonography (US). Materials and Methods: The clinical, laboratory and radiological findings of a total of 158 patients, 104 of whom were men, with a mean age of 9, were re-evaluated. Results: The most common location of ML defined by US was the right lower quadrant (86%). The most common pathology with ML was nonspecific abdominal pain (NSAP) at a rate of 50%. ML measurements and location did not correlate with gender, age, and abdominal pathology. Conclusion: In abdominal pain that requires admission to the emergency service in children, ML detected in the abdominal examination performed by US may be the only finding detected. The presence of ML may be associated with NSAP.

Keywords:

Abdominal Pain, Mesenteric Lymphadenitis, Ultrasound, Children.,

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