Presentation
Right lower quadrant pain and increased WBC.
Patient Data
Age: 40 years
Gender: Male
From the case:
Mesenteric adenitis
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Multiple large ileocolic lymph nodes noted in the right lower quadrant, with associated surrounding mesenteric inflammatory stranding. The appendix is normal.
Case Discussion
Mesenteric adenitis is a self-limiting infection (mostly viral) involving the mesenteric lymph nodes in the right lower quadrant. Patients present similarly to appendicitis with RLQ pain, increased WBC and fever.
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