Ratih, Saumy Dewi and Makrufardi, Firdian and Azizah, Annisa Fairuz Nur and Damayanti, Wahyu (2024) Multiple mesenteric lymphadenopathies in pediatric with ulcerative colitis: A case report. Radiology Case Reports, 19 (2). pp. 600-603. ISSN 19300433
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Abstract
Ulcerative colitis (UC) is one of the 2 major disorders in pediatric inflammatory bowel disease (IBD). Differentiating IBD at an early stage remains difficult, and abdominal imaging and early precise investigations are crucial. A 2-year-old girl was referred to the emergency department after experiencing colicky abdominal pain for 1 month. She had bloody stool 4 days before admission with the frequency of about 1-2 times per day. She also experienced anorexia, nausea, and weight loss. From Abdominal CT-Scan with contrast, multiple mesenteric lymphadenopathies accompanied by liver enlargement and minimal ascites were found. A colonoscopy showed multiple ulcers in the rectum and sigmoid colon. The histology of the gastric and colon showed lymphocyte infiltration in lamina propria. Children with UC usually present with the classic symptoms of weight loss, abdominal pain, and bloody diarrhea. The UC patients could present also with nonclassic symptoms of poor growth, anemia, or extraintestinal manifestations. The presence of inflamed mesenteric lymph nodes in the inflammatory process in UC can be associated with peri-intestinal inflammatory reactions. Mesenteric lymphadenopathies can happen in UC and early investigations using colonoscopy and biopsy are important investigative procedures to evaluate patients with UC. © 2023
Item Type: | Article |
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Additional Information: | Cited by: 1; All Open Access, Gold Open Access, Green Open Access |
Uncontrolled Keywords: | hemoglobin; abdominal pain; algorithm; anorexia; Article; ascending colon; ascites; bacterium; bloody diarrhea; body weight loss; case report; cecum; child; clinical article; colonoscopy; descending colon; duodenum biopsy; echography; emergency ward; feces analysis; female; gastroenteritis; hepatomegaly; histopathology; hospital admission; human; human tissue; lamina propria; leukocyte count; leukocyte differential count; liquid feces; lymph follicle; lymphadenopathy; lymphocyte; lymphocytic infiltration; medical society; mucus; multiple mesenteric lymphadenopathy; nausea; neutrophil; patient referral; pediatric patient; physical examination; plasma cell; plasmacytosis; platelet count; practice guideline; preschool child; rectal tissue; rectum; rectum biopsy; rectum ulcer; sigmoid; stomach; stomach biopsy; transverse colon; ulcerative colitis; x-ray computed tomography |
Subjects: | R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
Divisions: | Faculty of Medicine, Public Health and Nursing > Non Surgical Divisions |
Depositing User: | Ngesti Gandini |
Date Deposited: | 17 Mar 2025 07:26 |
Last Modified: | 17 Mar 2025 07:26 |
URI: | https://ir.lib.ugm.ac.id/id/eprint/15800 |