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Differential Diagnosis for Mesenteric Lymph Nodes Enlargement

Single Most Likely Diagnosis

  • Mesenteric lymphadenitis: This condition, often caused by viral or bacterial infections, is a common cause of mesenteric lymph node enlargement, especially in children and young adults. It can mimic appendicitis and is usually self-limiting.

Other Likely Diagnoses

  • Gastrointestinal infections: Infections such as salmonellosis, yersiniosis, or campylobacteriosis can cause mesenteric lymphadenitis.
  • Inflammatory bowel disease (IBD): Conditions like Crohn's disease and ulcerative colitis can lead to mesenteric lymph node enlargement due to chronic inflammation.
  • Lymphoma: Both Hodgkin's and non-Hodgkin's lymphoma can involve the mesenteric lymph nodes, though this is less common than other causes.

Do Not Miss Diagnoses

  • Abdominal lymphoma: Although less common, lymphoma involving the mesenteric nodes can be life-threatening if not diagnosed and treated promptly.
  • Tuberculosis: Though rare in many parts of the world, abdominal tuberculosis can cause mesenteric lymphadenitis and has significant implications for treatment and public health.
  • Sarcoidosis: This systemic disease can involve any organ, including the lymph nodes, and requires specific treatment.

Rare Diagnoses

  • Whipple's disease: A rare, systemic bacterial infection that can cause malabsorption and lymphadenopathy, including mesenteric lymph node enlargement.
  • Castleman disease: A rare disorder that involves an overgrowth of cells in the lymphatic system, which can lead to lymph node enlargement, including in the mesenteric region.
  • Kawasaki disease: Although primarily known for affecting children and causing coronary artery aneurysms, it can also involve lymphadenopathy, including mesenteric lymph nodes, in rare cases.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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