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Multiple mesenteric lymphadenopathies in pediatric with ulcerative colitis: A case report
Saumy Dewi Ratih1, Firdian Makrufardi1, Annisa Fairuz Nur Azizah1
1Department of Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia.
Radiology Case Reports
|December 11, 2023
Summary
Pediatric ulcerative colitis (UC) diagnosis is challenging. Early investigations like colonoscopy are crucial for identifying UC, even with non-classic symptoms such as mesenteric lymphadenopathy in children.
Area of Science:
- Pediatric Gastroenterology
- Inflammatory Bowel Disease Research
Background:
- Ulcerative colitis (UC) is a major pediatric inflammatory bowel disease (IBD).
- Early differentiation of IBD in children is often difficult.
- Accurate diagnosis relies on timely abdominal imaging and investigations.
Observation:
- A 2-year-old girl presented with prolonged abdominal pain, bloody stools, anorexia, nausea, and weight loss.
- Abdominal CT revealed mesenteric lymphadenopathies, liver enlargement, and minimal ascites.
- Colonoscopy identified rectal and sigmoid ulcers; histology showed lymphocyte infiltration.
Findings:
- The case highlights that mesenteric lymphadenopathies can be an associated finding in pediatric UC.
- Histological findings confirmed inflammatory changes consistent with UC.
- Early diagnostic procedures are vital for managing UC in children.
Implications:
- This case underscores the importance of considering UC in pediatric patients with atypical presentations.
- Prompt endoscopic evaluation and biopsy are essential for accurate UC diagnosis.
- Recognizing lymphadenopathy in UC aids in early and precise patient management.
