Question
How to treat pediatric intestinal lymphadenopathy with ascites?
Answer
Pediatric mesenteric lymphadenitis is a common pediatric disease, often caused by viral infections and often related to respiratory infections. Some believe it may also be associated with intestinal inflammation and parasitic diseases. Typical clinical symptoms include fever, abdominal pain, dry heaves, or recurring nausea and vomiting, or constipation. If the diagnosis is clear, non-surgical treatment should be the first choice, often involving fasting, intravenous fluid therapy, and intravenous administration of broad-spectrum antibiotics. However, if the symptoms do not improve after the above treatments or if it is difficult to differentiate from acute appendicitis, surgical exploration is recommended. For cases caused by Salmonella, if there is purulent swelling or recurrence of peritoneal inflammation, surgical drainage should be performed.