Lymph nodes in colon

[condiff33]

My doctor tells me I have some lymph nodes in my colon and he makes it sound like they shouldn't be there.....is his good or bad?......he wants to do orhoscoptic surgery on them in the next couple o moths to see if they have crohns on them as well as check for cancer is this normal?........does anybody else have this problem

 

[Keona]

Hi condiff33,
I can't help you with your question as I haven't had a colonoscopy yet but wanted to welcome you to the forum I am sure you will get the answers you are looking for - lots of people with experience and knowledge. Take care.
Wendy

 

[condiff33]

Thank you I'm hoping someone can help my doctor is so busy we usually don't get to all of he questions I have for him..........I go for a pill Can to get a better look inside next week

 

[Creepy Lurker]

You'd be abnormal if you *didn't* have lymph nodes in your bowel. Did he say that they were swollen? I can't see why he'd mention them otherwise.

 

[condiff33]

I guess they might be swollen or something I really don't know I don't recall him explaini.....he said we wanted to look at them for signs of crohns maybe idk

 

[Creepy Lurker]

I guess they might be swollen or something I really don't know I don't recall him explaini.....he said we wanted to look at them for signs of crohns maybe idk

I've never heard of lymph node involvement with Crohn's. It's quite common to get 'nodules' in the bowel where there is regular inflammation. Usually referred to as polyps though.

 

[DustyKat]

I could be way wrong here but I think it is normal procedure in many cases to examine the lymph nodes to see if any active Crohn's has spread to them or if they are cancerous. Roo's situation was different to yours but they definitely reported on those exact things on her post op pathology report.

Wishing you all the best with your up coming surgery. Good luck.

Dusty

 

[Creepy Lurker]

http://www.merck.com/mmpe/sec02/ch018/ch018b.html

Transmural spread of inflammation leads to lymphedema and thickening of the bowel wall and mesentery. Mesenteric fat typically extends onto the serosal surface of the bowel. Mesenteric lymph nodes often enlarge. Extensive inflammation may result in hypertrophy of the muscularis mucosae, fibrosis, and stricture formation, which can lead to bowel obstruction. Abscesses are common, and fistulas often penetrate into adjoining structures, including other loops of bowel, the bladder, or psoas muscle. Fistulas may even extend to the skin of the anterior abdomen or flanks. Independently of intra-abdominal disease activity, perianal fistulas and abscesses occur in 25 to 33% of cases; these complications are frequently the most troublesome aspects of Crohn's disease.

Noncaseating granulomas can occur in lymph nodes, peritoneum, the liver, and all layers of the bowel wall. Although pathognomonic when present, granulomas are not detected in about half of patients with Crohn's disease. The presence of granulomas does not seem to be related to the clinical course.

I've learnt something new today

 

[condiff33]

Awesome that's what my doc was saying I was jw if anyone else was diagnosed that way and what were your symptoms

 

[girn]

You'd be abnormal if you *didn't* have lymph nodes in your bowel. Did he say that they were swollen? I can't see why he'd mention them otherwise.

Ditto. There are lymph nodes everywhere.

My groin nodes are always hugely swollen and tender due to my recto-vaginal involvement.