Article Text

Rare disease
Kikuchi-Fujimoto’s disease involving mesenteric nodes: a report and review of literature
  1. R Vijayaraghavan1,
  2. R Chandrashekar1,
  3. Saraswathi A2,
  4. CS Belagavi3
  1. 1Department of General & Laparoscopic Surgery, RMV Hospital, Bangalore, Karnataka, India
  2. 2Department of Medicine, RMV Hospital, Bangalore, Karnataka, India
  3. 3Department of Pathology, SSMC Medical College Hospital, Tumkur, Karnataka, India
  1. Correspondence to Dr Rajagopalan Vijayaraghavan, wetware{at}


An adolescent boy underwent laparoscopic evaluation with persisting fever associated with colicky abdominal pain of about 3 weeks duration after a CT study of his abdomen revealed mesenteric adenopathy. Histopathological evaluation of the excised mesenteric nodes showed features of histiocytic necrotising lymphadenopathy suggestive of Kikuchi-Fujimoto lymphadenopathy which was confirmed on immunehistochemistry staining. Kikuchi-Fujimoto’s disease involving the mesenteric nodes is extremely unusual and can be confounding with a mistaken diagnosis of and prolonged treatment for tuberculosis. The authors present a case of Kikuchi-Fujimoto’s disease involving the mesenteric lymph nodes and discuss the various aspects of diagnosis and management of the case along with a review of published literature.

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  • Competing interests None.

  • Patient consent Obtained.

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