MESENTERIC LYMPHADENOPATHY: When to investigate?

MESENTERIC LYMPHADENOPATHY: When to investigate?

1.      Isolated detection of mesenteric lymph nodes in the absence of signs and symptoms like anemia, anorexia, weight loss, bowel wall thickening or free fluid in the abdomen does not warrant any specific therapy.

2.      Mesenteric nodes are said to be significant if

§  These are more than 5 in number,

§  more than 14 mm along its long axis and

§  Are matted or present in clusters.
Large, matted nodes or nodes in clusters may warrant further investigation.

3.      If the nodes are small it is preferable to repeat USG after 3–6 months.

4.      Diagnostic laparoscopy is planned if there is an increase in size or               in number of the nodes.