HealthDiseases and Conditions

Mezadenit - what is it? Mesadenitis: Symptoms, Causes, Diagnosis, Treatment

Mezadenitis (what it is, will be discussed later) can be caused by a variety of infectious agents. Exact factors that provoke pathology are not established. Further we will understand, as the mezadenitis is shown, what is it, what therapeutic measures are carried out.

General information

So, the mezadenite. What it is? How does the disease manifest itself? Pathology is an inflammation of the gland or lymph node of the mesentery of the intestine. The latter is a serious barrier to the path of infection from the internal organs or intestines. In total, the abdominal cavity of the lymph nodes is about 600. As a rule, pathogens penetrate directly from the intestinal lumen (enterogenic pathway) or with lymph and blood flow from a variety of infectious foci (lymphohematogenous pathway). The latter can, for example, be located in the appendix, intestine, lungs, upper respiratory tract. Speaking about how mesadenite is manifested (what is it, it is said above), two most common signs should be noted. Pathology is accompanied by painful sensations in the abdomen and intoxication syndrome.

Mesadenitis: Causes

As it was said above, the exact development factors for today are not established. Nevertheless, experts call the most common causes of the disease. Among them:

  • Adenovirus and enterovirus. They provoke the emergence of infections of an acute respiratory type.
  • Yersinia. These are the causative agents of pseudotuberculosis and intestinal yersiniosis. They are one of the most common causes of the appearance of mesadenitis in a number of areas of the world.
  • The Epstein-Barr virus. It provokes infectious mononucleosis.
  • Cytomegalovirus.
  • Streptococcus (green and beta-hemolytic), staphylococcus and others.
  • Mycobacterium tuberculosis.
  • Campylobacter and other pathogens of intestinal infections (salmonella, rod and others).

As practice shows, in most cases, the pathology passes on its own, without any therapeutic intervention. However, in some cases, treatment is still necessary. In particular, therapy is prescribed with a pronounced inflammatory process in the lymph nodes with a possible suppuration and subsequent infection. As a rule, pathology is most often detected in childhood and adolescence. Girls are less prone to illness than boys.

Clinical picture

Quite often, the symptomatology is similar to the signs of appendicitis. Pathology begins with the appearance of paroxysmal (in more rare cases of permanent) pain in the abdomen in the projection of the mesenteric lymph nodes. Along with this, it is noteworthy that, despite rather sharp manifestations, the general condition of the patient as a whole is satisfactory. Acute mezadenitis may be accompanied by nausea or vomiting, fever, stool disorders (diarrhea or constipation). The duration of the development of pain syndrome against the background of pathology is usually from several hours to 2-3 days (rarely more than three). In some cases, along with the above symptoms, the patient shows signs of upper respiratory tract infection in the form of a runny nose, a cough, and a sore throat.

Mycobacterium tuberculosis

Clinical manifestations in this case have some differences from those described above. With mesadenitis, provoked by the mycobacterium tuberculosis, short pain without obvious localization is observed. In this case, subfebrile temperature, weight loss, general weakness is noted. The lymph nodes eventually become denser and palpable during palpation of the abdomen. In general, the clinical picture will largely depend on the existing lesions of other organs. There is a possibility of complications of pathology. It can be various chronic intestinal diseases (obstruction for example), adhesive syndrome, sepsis, peritonitis, necrosis and suppuration with the development of abscesses.

Diagnostic measures

Studies are assigned taking into account the existing clinical picture of pathology. In difficult cases (if chronic diseases of the abdominal or intestinal organs are present), an ultrasound and diagnostic laparoscopy may be required to establish an accurate diagnosis . In some cases, a specialist can appoint a computer tomography. The above methods make it possible not only to establish the absence or presence of mesadenitis, but also to determine or exclude its probable complications. During the examination, the patient is also assigned laboratory blood tests. The analysis allows you to guess the cause of the disease and carry out differential diagnosis. In favor of a tubercular form of pathology, anamnestic information about a previously transmitted tuberculosis can be spoken, as well as positive results of tuberculosis. Very often acute mesenitis to doctors has to differentiate with many pathologies of organs in the peritoneum and retroperitoneal space. Among them, in particular, include appendicitis, cholecystitis, ectopic (ectopic) pregnancy, salpingitis. Differential diagnosis should be carried out with such pathologies as vasculitis, lymphomas, pyelonephritis and Crohn's disease, mesenteric (chronic) ischemia and others.

Prevention and therapy

Treatment of mesadenitis (nonspecific) is carried out using conservative methods. Usually, the therapy is performed in a surgical hospital. The main element of treatment are antibiotics with a wide spectrum of action. They include, in particular, fluoroquinolones of the second and cephalosporins of the third generation. Their activity is aimed at suppressing the activity of pathogens. To eliminate pain, antispasmodics are used. This, in particular, means such as "Drotaverin", "Papaverin." Also prescribed are analgesics ("Ketorolac" and others). In particularly severe cases, paranephric blockades are used. To detoxify the body, pathogenetic nonspecific therapy is performed, suggesting the introduction of various infusion solutions. Physiotherapy procedures are also quite effective.

Special Information

In case of suspicion of mesadenitis, it is highly advisable not to take medications without first consulting with a specialist. Some drugs, analgesics and antispasmodics in particular, can significantly distort the clinical picture, thus making it difficult to diagnose. A special attention deserves a diet for mesenenite. Patients recommended table number 5. It is allowed to consume legumes, salad, fruits (non-acidic), crumbly porridges. You can add lean beef, chicken, vegetable soups, fat-free cottage cheese, tea (not strong), compote, wheat bread to the diet. Recommended fractional frequent meals. It is forbidden to eat black coffee, pepper, mustard, fatty fish, spinach, sorrel, lard, fresh muffins, half-finished products, fried meat.


In general, the pathology can be treated well. Complications are rare in practice. They are characteristic mainly for tuberculosis infection. Timely access to a specialist allows you to quickly get rid of the disease in almost all cases.

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