mesenteric adenitis compared with acute appendicitis

Last reviewed 01/2018

Below is a table with clinical features that help with the clinical discrimination between acute appendicitis and mesenteric adenitis. These features will however only provide a guide for the probable cause of a particular clinical presentation.

 ACUTE APPENDICITISMESENTERIC ADENITIS
temperature37-38 degrees Cabove 38 degrees C
pharyngitis, cervical adenitis not presentpresent
headachenot present present
abdominal painpresent+present
guardingpresentpresent
shifting tenderness not presentpresent
vomitingpresent/not present not present
rebound tendernesspresentnot present