[A rare case of suppurative mesenteric adenitis associated with intussusception in a child: a clinical case].
Some cases of suppurative mesenteric adenitis have already been described in the literature but not associated with intussusception. We describe the case of a 3-year-old boy presenting to the department of surgery at the University Hospital of Lubumbashi with bowel obstruction. He was visited elsewhere, in the previous 12 days, for diarrhea, vomiting, fever, coma and treated for cerebral malaria and blackwater fever. Surgery revealed an ileal intussusception and a suppurative mesenteric adenitis whose pyoculture revealed the presence of Enterobacter cloacae, sensitive to norfloxacin. We performed desinvagination, sucked the pus out into a syringe and excized completely the site of suppurative adenitis. The evolution of patient was good. The clinician must know that the association between suppurative mesenteric adenitis and intussusceptions exists. The diagnosis is not easy and there is the risk of developing acute peritonitis due to its fistulation in the abdominal cavity.
Faculté de Médecine, Université de Lubumbashi, Cliniques Universitaires de Lubumbashi, Service de Chirurgie, République Démocratique du Congo.
Didier Tshibangu
DT
Mujinga
Faculté de Médecine, Université de Lubumbashi, Cliniques Universitaires de Lubumbashi, Service de Chirurgie, République Démocratique du Congo.
François Tshilombo
FT
Katombe
D002675:Child, Preschool; D016972:Enterobacter cloacae / Q000302:isolation & purification; D004756:Enterobacteriaceae Infections / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D007077:Ileal Diseases / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007443:Intussusception / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D008297:Male; D008640:Mesenteric Lymphadenitis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D013492:Suppuration / Q000175:diagnosis
Adenitis; intestinal; intussusception; obstruction