Epiploic Appendagitis: A challenging imaging diagnosis

Alves, Giordano Rafael Tronco; Silva, Régis Vinícius de Andrade; Corrêa, José Roberto Missel; Haygert, Carlos Jesus Pereira; Gossling, Pedro Augusto Mânica

doi:10.29333/ejgm/82448

Cited by 3 publications

(11 citation statements)

References 7 publications

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“…3,11 They are not commonly found in reto. 4 Its length varies from 0.5-5cm and its wall thickness is 1-2cm. The pedunculated appearance is due to vascular stem.…”

Section: Anatomymentioning

confidence: 99%

“…The pedunculated appearance is due to vascular stem. 4 Each appendages receives blood supply from one or two branches of terminal arteries formed in the straight vasa of the colon, being drained by a single tortuous vein which passes through its narrow pedicle. 11,12 The ischemic symptoms of EA are initially caused by the venous component.…”

Section: Anatomymentioning

confidence: 99%

“…11,12 The ischemic symptoms of EA are initially caused by the venous component. 4 Thus, this blood supply, associated with the pedunculated form, excessive mobility transforms the appendages into structures prone to torsion, ischemia or even hemorrhagic infarction and spontaneous venous thrombosis of a drainage vein. 5,6 Pathophysiology However there is no definite etiological confirmation, EA is attributed to ischemia or thrombosis of the epiploic appendages.…”

Section: Anatomymentioning

confidence: 99%

“…10 Other causes such as bowel obstruction, hernia incarceration, lymphoid hyperplasia and bacterial invasion secondary to an abdominal infection have already been described. 4,5 The evaluation of the dried appendages of patient with EA revealed the presence of inflammatory cells and colon bacteria. These bacteria may be responsible for the formation of localized abscesses and generalized peritonitis, rare secondary complications of AE.…”

Section: Anatomymentioning

confidence: 99%

“…3 The Epiploic appendices are pedunculated structures of adipose content that protrude from the serous surface of the colon. 4 This disease presents some synonyms such as: Epiploic Appendagitis, Epiploic Appendicitis, Hemorrhagic Epiploitite and Epiplopericolitis. 3 The most classic clinical manifestation is acute and localized abdominal pain.…”

Section: Introductionmentioning

confidence: 99%

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Clinical, diagnostic and therapeutic aspects of the epiploic appendagitis

Cossiolo¹,

Sahyun²,

Silva³

et al. 2018

IJRRT

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Background: The Epiploic Appendagitis is an uncommon pathology arising from the torsion or spontaneous venous thrombosis of the veins responsible for the drainage of the apoptotic appendages. Aim: The purpose of this research is to report the characteristics of this disease. Method: The review includes articles published in papers indexed in the Scielo and PubMed databases over the last eight years (2008-2016). The following headings were crossing: Epiploic Appendagitis, differential diagnosis of Appendagitis and diagnostic methods of Appendagitis, and their respective literal translations in English, were selected 26 articles, used for database. Results: Although there is discordance in the literature, the male sex is more frequently affected by this pathology. The characteristic manifestation is acute non-migratory abdominal pain, most often located in the lower left quadrant of the abdomen. The diagnosis is made from images from the Computed Tomography. The treatment occurs outpatient and provides for administration of analgesic and anti-inflammatory. Conclusion: A correct initial approach avoids invasive and unnecessary procedures

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“…3,11 They are not commonly found in reto. 4 Its length varies from 0.5-5cm and its wall thickness is 1-2cm. The pedunculated appearance is due to vascular stem.…”

Section: Anatomymentioning

confidence: 99%

Section: Anatomymentioning

confidence: 99%

Section: Anatomymentioning

confidence: 99%

Section: Anatomymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical, diagnostic and therapeutic aspects of the epiploic appendagitis

Cossiolo¹,

Sahyun²,

Silva³

et al. 2018

IJRRT

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Epiploic appendagitis — Is it an innocent condition? (Presentation of three cases)

et al. 2014

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Epiploitis aguda supurativa, tratamiento quirúrgico: reporte de un caso

Peláez

Ortega²,

Ulloa³

et al. 2022

CEDAMAZ

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La Epiploitis aguda se trata de una nosología clínica sumamente rara, que aparentemente es provocada por una torsión o trombosis del pedículo vascular de un apéndice epiploico; dando como resultado, un infarto isquémico de la grasa acompañado de irritación peritoneal, originando un cuadro de dolor abdominal agudo, similar al de apendicitis aguda o diverticulitis y conducir de este modo a una intervención quirúrgica innecesaria. A continuación, se presenta un caso de epiploitis aguda supurativa de un paciente joven de sexo masculino, presentando síntomas clínicos de abdomen agudo, que después de haber corroborado con los resultados de los exámenes complementarios se cataloga como un abdomen agudo inflamatorio, con peritonitis localizada con datos de laboratorio alterados, el cual se tuvo que intervenirse quirúrgicamente previo a una laparoscopía diagnóstica, encontrándose una masa inflamatoria necrosada con fibrina en la cara anterior de epiplón derecho, adherido a borde antimesentérico de colon derecho a 10 cm de la válvula íleocecal, donde se decide realizar bajo criterio de cirugía un clipaje de la base del apéndice epilpoico y resección de omento adherido. Se decide realizar un histopatológico del tejido extraído obteniéndose resultado de una epiploitis aguda supurativa. Se concluye, ante un abdomen agudo localizado, sobre todo en paciente joven afebril que presenta alteraciones analíticas; leucocitosis con desviación a la izquierda, confirmando diagnostico con ecografía y/o tomografía, y de esta manera evitamos iniciar terapia antibiótica o intervenciones quirúrgicas innecesarias. El tratamiento es conservador con analgésicos orales, reservando la cirugía para los casos complicados o con mala evoluciónn clínica.

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Epiploic Appendagitis: A challenging imaging diagnosis

Abstract: ABSTRACT

Cited by 3 publications

References 7 publications

Clinical, diagnostic and therapeutic aspects of the epiploic appendagitis

Clinical, diagnostic and therapeutic aspects of the epiploic appendagitis

Epiploic appendagitis — Is it an innocent condition? (Presentation of three cases)

Epiploitis aguda supurativa, tratamiento quirúrgico: reporte de un caso

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