Kikuchi-Fujimoto's disease involving mesenteric nodes: a report and review of literature.
An adolescent boy underwent laparoscopic evaluation with persisting fever associated with colicky abdominal pain of about 3 weeks duration after a CT study of his abdomen revealed mesenteric adenopathy. Histopathological evaluation of the excised mesenteric nodes showed features of histiocytic necrotising lymphadenopathy suggestive of Kikuchi-Fujimoto lymphadenopathy which was confirmed on immunehistochemistry staining. Kikuchi-Fujimoto's disease involving the mesenteric nodes is extremely unusual and can be confounding with a mistaken diagnosis of and prolonged treatment for tuberculosis. The authors present a case of Kikuchi-Fujimoto's disease involving the mesenteric lymph nodes and discuss the various aspects of diagnosis and management of the case along with a review of published literature.
Department of General & Laparoscopic Surgery, RMV Hospital, Bangalore, Karnataka, India. wetware@sify.com
R
R
Vijayaraghavan
R
R
Chandrashekar
Saraswathi
S
A
C S
CS
Belagavi
D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D005334:Fever / Q000209:etiology; D020042:Histiocytic Necrotizing Lymphadenitis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008643:Mesentery