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The ileocolic lymph nodes, from ten to twenty in number, form a chain around the ileocolic artery, but tend to subdivide into two groups, one near the duodenum and the other on the lower part of the trunk of the artery. Where the vessel divides into its terminal branches the chain is broken up into several groups:
Lymphadenopathy of an inflammatory type (the most common type) is lymphadenitis, [1] producing swollen or enlarged lymph nodes. In clinical practice, the distinction between lymphadenopathy and lymphadenitis is rarely made and the words are usually treated as synonymous. Inflammation of the lymphatic vessels is known as lymphangitis. [2]
The inferior mesenteric lymph nodes consist of: (a) small glands on the branches of the left colic and sigmoid arteries (b) a group in the sigmoid mesocolon , around the superior hemorrhoidal artery
Mesenteric adenitis is an inflammation of the mesenteric lymph nodes in the abdomen. It can be caused by the bacterium Yersinia enterocolitica . [ 2 ] If it occurs in the right lower quadrant, it can be mistaken for acute appendicitis , often preceded by a sore throat.
An improved understanding of mesenteric structure and histology has enabled a formal characterization of mesenteric lymphangiology. [7] Stereologic assessments of the lymphatic vessels demonstrate a rich lymphatic network embedded within the mesenteric connective tissue lattice. On average, vessels occur every 0.14 mm (0.0055 in), and within 0. ...
However, it is not specific and can be found in other conditions such as mesenteric oedema, lymphedema, haemorrhage, and presence of neoplastic and inflammatory cells must be excluded. Mesenteric lymph nodes are rarely larger than 10 mm in sclerosing mesenteritis. Larger lymph nodes should prompt further investigations with PET scan or biopsy. [7]
The preaortic lymph nodes receive a few vessels from the lateral aortic lymph nodes, but their principal afferents are derived from the organs supplied by the three arteries with which they are associated–the celiac, superior and inferior mesenteric arteries. Some of their efferents pass to the retroaortic lymph nodes, but the majority unite ...
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