Acute epiploic appendagitis: ultrasound and computed tomography findings of a rare case of acute abdominal pain and the role of other imaging techniques

Trovato, Piero; Simonetti, Igino; Verde, Francesco; Lomoro, Pascal; Vinci, Giorgia; Tarotto, Luca; Corvino, Fabio; Corvino, Antonio

doi:10.5114/pjr.2020.94335

Cited by 11 publications

(8 citation statements)

References 38 publications

(72 reference statements)

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“…Abdominal Ultrasound may reveal a rounded, noncompressible, hyperechoic mass, without internal vascularity surrounded by a hypoechoic line in the zone of maximal abdominal tenderness, typically 2-4 cm in maximum diameter [ 5 , 6 ]. Color-Doppler evaluation shows absent or weak internal blood flow, in contrast to the hypervascularity observed in appendicitis or diverticulitis [3] .…”

Section: Discussionmentioning

confidence: 99%

A rare cause of right-upper quadrant abdominal pain: Epiploic appendagitis of the hepatic flexure

Cirimele

D'Amone

Ricci

et al. 2023

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

A rare cause of right-upper quadrant abdominal pain: Epiploic appendagitis of the hepatic flexure

Cirimele

D'Amone

Ricci

et al. 2023

Radiology Case Reports

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“…Regarding differential diagnoses, many conditions can be associated with the presence of a nodular image within soft tissues, including normal or abnormal vessels, dense scars, and nodal and extra-nodal diseases [ 34 , 64 , 65 , 66 ]. Nodal causes include acute lymphadenitis (e.g., cat scratch disease), tubercular lymphadenitis, sarcoidosis-related lymphadenitis, lymphomas, and metastatic lymphadenopathies (especially from melanomas, but also from other cutaneous and non-cutaneous cancers) [ 34 , 64 , 65 , 67 ].…”

Section: Discussionmentioning

confidence: 99%

Imaging Assessment of Interval Metastasis from Melanoma

Simonetti

Trovato²,

Granata

et al. 2022

JPM

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Interval metastasis is a particular metastatic category of metastatic localizations in the lymph nodes in patients with melanoma. Interval nodes are generally located at nonregional lymphatic stations placed along the pathway of the spread of melanoma, such as the epitrochlear lymph node station, the popliteal fossa, and the retroareolar station. Imaging techniques for evaluation of patients with interval metastasis from melanoma diseases include ultrasound (US), computed tomography (CT), magnetic resonance imaging (MRI), lymphoscintigraphy (LS), and positron emission tomography (PET). A literature review was conducted through a methodical search on the Pubmed and Embase databases. The evaluation of lymph node metastases represents a critical phase in the staging and follow-up of melanoma patients. Therefore, a thorough knowledge of the imaging methods available and the interactions between the clinician and the radiologist are essential for making the correct choice for individual patients, for a better management, and to improve treatment and survival.

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“…Reactive lymph nodes can often be observed. The mass shows no sign of internal vascularization or compressibility [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Encapsulated Omental Necrosis as an Unexpected Postoperative Finding: A Case Report

Mitrović¹,

Veličković

Micev³

et al. 2021

Medicina

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Postsurgical fat necrosis is a frequent finding in abdominal cross-sectional imaging. Epiploic appendagitis and omental infarction are a result of torsion or vascular occlusion. Surgery or pancreatitis are conditions that can have a traumatic and ischemic effect on fatty tissue. The imaging appearances may raise concerns for recurrent malignancy, but percutaneous biopsy and diagnostic follow-up assist in the accurate diagnosis of omental infarction. Herein we describe a case of encapsulated omental necrosis temporally related to gastric surgery. Preoperative CT and MRI findings showed the characteristics of encapsulated, postcontrast nonviable tumefaction in the epigastrium without clear imaging features of malignancy. Due to the size of the lesion and the patient’s primary disease, tumor recurrence could not be completely ruled out, and the patient underwent surgery. Histopathological analysis confirmed the diagnosis of steatonecrosis of the omentum.

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Acute epiploic appendagitis: ultrasound and computed tomography findings of a rare case of acute abdominal pain and the role of other imaging techniques

Cited by 11 publications

References 38 publications

A rare cause of right-upper quadrant abdominal pain: Epiploic appendagitis of the hepatic flexure

A rare cause of right-upper quadrant abdominal pain: Epiploic appendagitis of the hepatic flexure

Imaging Assessment of Interval Metastasis from Melanoma

Encapsulated Omental Necrosis as an Unexpected Postoperative Finding: A Case Report

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