Article:
Kikuchi- fujimoto disease of mesenteric lymph nodes mimicking acute appendicitis

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorShrestha, Anne
dc.contributor.authorKatie Newton
dc.contributor.authorEmyr Benbow
dc.contributor.authorKushwaha, Rajeev
dc.creator.affiliationDepartment of Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL.
dc.creator.affiliationDepartment of Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL.
dc.creator.affiliationDepartment of Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL.
dc.creator.affiliationDepartment of Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL.
dc.date.accessioned2026-10-12T07:14:34Z
dc.date.available2026-10-12T07:14:34Z
dc.date.issued2013
dc.description.abstractAbstract Kikuchi-Fujimoto disease, or histiocytic necrotising lymphadenopathy of unknown aetiology, is a rare, benign and self-limiting cause of lymphadenopathy often involving the cervical nodes, and rarely presenting with mesenteric lymphadenopathy. We present a 26-year-old Caucasian male, who presented with right iliac fossa pain and low grade pyrexia, mimicking acute appendicitis. He underwent a laparatomy and an extended right hemi-colectomy for a caecal mass. Histology of the specimen showed lymph nodes with extensive areas of necrosis, with abnormal architecture suggesting Kikuchi-Fujimoto lymphadenopathy. This was further confirmed by immunohistochemistry. In this context maintenance of a high index of suspicion of this condition can avoid major surgical interventions. We describe the management of our case of Kikuchi-Fujimoto’s disease involving the mesenteric nodes and provide an up to date review of the pertinent literature on this subject. Keywords: Abdominal mass; Kikuchi- Fujimoto disease; Mesenteric lymphadenopathy; Necrotising lymphadenitis.
dc.identifier.doihttps://doi.org/10.31729/jnma.2440
dc.identifier.urihttps://hdl.handle.net/20.500.14572/8110
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectAbdominal mass
dc.subjectKikuchi- Fujimoto disease
dc.subjectMesenteric lymphadenopathy
dc.subjectNecrotising lymphadenitis
dc.titleKikuchi- fujimoto disease of mesenteric lymph nodes mimicking acute appendicitis
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage630
oaire.citation.startPage627
relation.isJournalIssueOfPublication8d841c1c-a325-4c44-832d-306937ec270c
relation.isJournalIssueOfPublication.latestForDiscovery8d841c1c-a325-4c44-832d-306937ec270c
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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