Mesenteric lymphadenopathy in children with chronic abdominal pain

Vaisakh Sambasivan Balakrishnan, Shrikiran Aroor, Sandeep Kumar, Pushpa Gurudas Kini, Anjana Saseendran

Research output: Contribution to journalArticle

Abstract

Background: Mesenteric lymphadenopathy is a common finding described by abdominal ultrasonography in children. Objective: To estimate incidence and significance of mesenteric lymphadenopathy (MLN) in children with chronic abdominal pain (CAP) as compared to healthy children. Method: A prospective observational study was conducted in the paediatric department of a tertiary care hospital. Cases included children of age group 5-15 years with CAP who were subjected to abdominal ultrasonography during the study period. Controls included children in whom abdominal sonography was performed for reasons other than abdominal pain. Descriptive statistics were used for the analysis of baseline characteristics of the study group. For the variables following normal distribution curve, mean and standard deviation were computed. The presence of enlarged nodes, their location, size and other significant findings were recorded. Pearson's Chi-square test was used to analyse categorical variables between groups. Results: Three hundred and eighteen children were enrolled in the study. After excluding those who did not meet the criteria, the final study population included 110 cases and 138 controls. CAP was almost equal in both sexes with male: female ratio of 1:1.07. Mesenteric lymph nodes were detected by ultrasonography in 84 (72.1%) cases and in 41 (13.4%) controls. Significant MLN (≥5 mm short axis or > 10mm long axis) was present in 62 (56.4%) of 110 children with CAP, in contrast to 16 (11.6%) of 138 controls (p < 0.001). Most common location of the nodes was in the right iliac fossa (79%) followed by peri-umbilical location (77.4%).Conclusion: MLN, with lymph nodes more than 5mm on their short axis, is a significant finding in children presenting with CAP.

Original languageEnglish
Pages (from-to)348-353
Number of pages6
JournalSri Lanka Journal of Child Health
Volume47
Issue number4
DOIs
Publication statusPublished - 01-01-2018

Fingerprint

Chronic Pain
Abdominal Pain
Ultrasonography
Lymph Nodes
Umbilicus
Lymphadenopathy
Normal Distribution
Tertiary Healthcare
Chi-Square Distribution
Tertiary Care Centers
Observational Studies
Age Groups
Prospective Studies
Pediatrics
Incidence
Population

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Balakrishnan, Vaisakh Sambasivan ; Aroor, Shrikiran ; Kumar, Sandeep ; Kini, Pushpa Gurudas ; Saseendran, Anjana. / Mesenteric lymphadenopathy in children with chronic abdominal pain. In: Sri Lanka Journal of Child Health. 2018 ; Vol. 47, No. 4. pp. 348-353.
@article{43025b106a5944da9db200214b3cc02b,
title = "Mesenteric lymphadenopathy in children with chronic abdominal pain",
abstract = "Background: Mesenteric lymphadenopathy is a common finding described by abdominal ultrasonography in children. Objective: To estimate incidence and significance of mesenteric lymphadenopathy (MLN) in children with chronic abdominal pain (CAP) as compared to healthy children. Method: A prospective observational study was conducted in the paediatric department of a tertiary care hospital. Cases included children of age group 5-15 years with CAP who were subjected to abdominal ultrasonography during the study period. Controls included children in whom abdominal sonography was performed for reasons other than abdominal pain. Descriptive statistics were used for the analysis of baseline characteristics of the study group. For the variables following normal distribution curve, mean and standard deviation were computed. The presence of enlarged nodes, their location, size and other significant findings were recorded. Pearson's Chi-square test was used to analyse categorical variables between groups. Results: Three hundred and eighteen children were enrolled in the study. After excluding those who did not meet the criteria, the final study population included 110 cases and 138 controls. CAP was almost equal in both sexes with male: female ratio of 1:1.07. Mesenteric lymph nodes were detected by ultrasonography in 84 (72.1{\%}) cases and in 41 (13.4{\%}) controls. Significant MLN (≥5 mm short axis or > 10mm long axis) was present in 62 (56.4{\%}) of 110 children with CAP, in contrast to 16 (11.6{\%}) of 138 controls (p < 0.001). Most common location of the nodes was in the right iliac fossa (79{\%}) followed by peri-umbilical location (77.4{\%}).Conclusion: MLN, with lymph nodes more than 5mm on their short axis, is a significant finding in children presenting with CAP.",
author = "Balakrishnan, {Vaisakh Sambasivan} and Shrikiran Aroor and Sandeep Kumar and Kini, {Pushpa Gurudas} and Anjana Saseendran",
year = "2018",
month = "1",
day = "1",
doi = "10.4038/sljch.v47i4.8598",
language = "English",
volume = "47",
pages = "348--353",
journal = "Sri Lanka Journalof Child Health",
issn = "1391-5452",
publisher = "Sri Lanka College of Paediatricians",
number = "4",

}

Mesenteric lymphadenopathy in children with chronic abdominal pain. / Balakrishnan, Vaisakh Sambasivan; Aroor, Shrikiran; Kumar, Sandeep; Kini, Pushpa Gurudas; Saseendran, Anjana.

In: Sri Lanka Journal of Child Health, Vol. 47, No. 4, 01.01.2018, p. 348-353.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Mesenteric lymphadenopathy in children with chronic abdominal pain

AU - Balakrishnan, Vaisakh Sambasivan

AU - Aroor, Shrikiran

AU - Kumar, Sandeep

AU - Kini, Pushpa Gurudas

AU - Saseendran, Anjana

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Mesenteric lymphadenopathy is a common finding described by abdominal ultrasonography in children. Objective: To estimate incidence and significance of mesenteric lymphadenopathy (MLN) in children with chronic abdominal pain (CAP) as compared to healthy children. Method: A prospective observational study was conducted in the paediatric department of a tertiary care hospital. Cases included children of age group 5-15 years with CAP who were subjected to abdominal ultrasonography during the study period. Controls included children in whom abdominal sonography was performed for reasons other than abdominal pain. Descriptive statistics were used for the analysis of baseline characteristics of the study group. For the variables following normal distribution curve, mean and standard deviation were computed. The presence of enlarged nodes, their location, size and other significant findings were recorded. Pearson's Chi-square test was used to analyse categorical variables between groups. Results: Three hundred and eighteen children were enrolled in the study. After excluding those who did not meet the criteria, the final study population included 110 cases and 138 controls. CAP was almost equal in both sexes with male: female ratio of 1:1.07. Mesenteric lymph nodes were detected by ultrasonography in 84 (72.1%) cases and in 41 (13.4%) controls. Significant MLN (≥5 mm short axis or > 10mm long axis) was present in 62 (56.4%) of 110 children with CAP, in contrast to 16 (11.6%) of 138 controls (p < 0.001). Most common location of the nodes was in the right iliac fossa (79%) followed by peri-umbilical location (77.4%).Conclusion: MLN, with lymph nodes more than 5mm on their short axis, is a significant finding in children presenting with CAP.

AB - Background: Mesenteric lymphadenopathy is a common finding described by abdominal ultrasonography in children. Objective: To estimate incidence and significance of mesenteric lymphadenopathy (MLN) in children with chronic abdominal pain (CAP) as compared to healthy children. Method: A prospective observational study was conducted in the paediatric department of a tertiary care hospital. Cases included children of age group 5-15 years with CAP who were subjected to abdominal ultrasonography during the study period. Controls included children in whom abdominal sonography was performed for reasons other than abdominal pain. Descriptive statistics were used for the analysis of baseline characteristics of the study group. For the variables following normal distribution curve, mean and standard deviation were computed. The presence of enlarged nodes, their location, size and other significant findings were recorded. Pearson's Chi-square test was used to analyse categorical variables between groups. Results: Three hundred and eighteen children were enrolled in the study. After excluding those who did not meet the criteria, the final study population included 110 cases and 138 controls. CAP was almost equal in both sexes with male: female ratio of 1:1.07. Mesenteric lymph nodes were detected by ultrasonography in 84 (72.1%) cases and in 41 (13.4%) controls. Significant MLN (≥5 mm short axis or > 10mm long axis) was present in 62 (56.4%) of 110 children with CAP, in contrast to 16 (11.6%) of 138 controls (p < 0.001). Most common location of the nodes was in the right iliac fossa (79%) followed by peri-umbilical location (77.4%).Conclusion: MLN, with lymph nodes more than 5mm on their short axis, is a significant finding in children presenting with CAP.

UR - http://www.scopus.com/inward/record.url?scp=85060086184&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85060086184&partnerID=8YFLogxK

U2 - 10.4038/sljch.v47i4.8598

DO - 10.4038/sljch.v47i4.8598

M3 - Article

VL - 47

SP - 348

EP - 353

JO - Sri Lanka Journalof Child Health

JF - Sri Lanka Journalof Child Health

SN - 1391-5452

IS - 4

ER -