Epiploic Appendagitis: Is There Need for Surgery to Confirm Diagnosis in Spite of Clinical and Radiological Findings?

Hasbahçeci, Mustafa; Erol, Cengiz; Şeker, Mehmet

doi:10.1007/s00268-011-1382-2

Cited by 33 publications

(40 citation statements)

References 23 publications

(122 reference statements)

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“…Hasbahçeci ve ark. (7) tarafından 2012 yılında yayınlanan bir çalışmada, PAE tanısı almış 20 hasta geriye dönük olarak incelenmiştir. İnflame haldeki AE'nin, BT görüntülerinde kitle-lezyon ve özellikleri tanımlanarak, altı hastada Doppler USG ile santral kan akımı torsiyon açısından değerlendirilebilmiştir.…”

Section: Discussionunclassified

Torsion of epiploic appendices: An uncommon cause of acute abdomen

Mert¹,

Sayan²,

Örnek³

et al. 2017

BUCH

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ÖZYedi yaşındaki kız hasta sağ alt kadranda künt karın ağrısı ile hastanemiz çocuk acil servisine getirildi. Hasta, çocuk acil servisinde pediatri hekimleri tarafından değer-lendirildikten sonra akut batın ön tanısıyla kliniğimize konsülte edildi. Hastada akut batın bulgularının olması nedeniyle hasta servisimize yatırılarak opere edildi. Hastada operasyon sırasında apendiks vermiformisin normal olduğu görüldü. Ancak sürdürülen karın eksplorasyonunda sigmoid kolon yerleşimli apendiks epiploikanın torsiyonuna bağlı primer apendajitis epiploika olduğu saptandı. Nadir bir akut batın nedeni olan primer apendajitis epiploika; yerleşim yerine göre akut apandisit, akut divertikülit, akut kolesistit gibi cerrahi müdahale gerektiren patolojileri taklit edebilir. Bu nedenle akut batın ayırıcı tanısında akılda tutulması gereken bir patolojidir. Anahtar kelimeler: Akut batın, apendiks epiploika torsiyonu, primer apendajitis epiploika ABSTRACTA 7-year-old girl, presented to the pediatric emergency service with dull pain, localized in the right lower quadrant of the abdomen. After she was examined by emergency pediatricians, she had been consulted to our department with an initial diagnosis of an acute abdomen. After our examination, she was operated due to the symptoms of acute abdomen. During surgery, the appendix vermiformis appeared non-inflamed. But in detailed abdominal exploration, diagnosis of primary epiploic appendagitis due to the torsion of appendices epiploicae localized at the sigmoid colon was made. Primary epiploic appendagitis, an uncommon cause of acute abdomen, mimics surgical pathologies like acute appendicitis, acute cholecystitis, acute diverticulitis etc. So primary epiploic appendagitis is a pathology that needs to be kept in mind in differential diagnosis of acute abdomen.

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Section: Discussionunclassified

Torsion of epiploic appendices: An uncommon cause of acute abdomen

Mert¹,

Sayan²,

Örnek³

et al. 2017

BUCH

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“…Incidence of PEA is higher in the sigmoid colon, which is the place where appendix epiploica most commonly located [4][5][6] . Cecal PEA is seen rarely 7 .…”

Section: Discussionmentioning

confidence: 99%

A Rare Pathology Mimicing Acute Appendicitis; Epiploic Appendagitis

Özdemi̇r¹,

Özdemir²,

Şenol³

et al. 2014

Sakarya Med J

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Aim: Primary epiploic appendagitis (PEA) is an inflammatory disease occurs due to the torsion or spontaneous venous thrombosis of colonic epiploic appendages. Frequency of PEA is greater in the sigmoid colon, which is the place where appendix epiploica most commonly observed. Cecal PEA is seen rarely. PEA is actually a disease that can be cured by conservative treatment. However, cecal epiploic appendagitis is sometimes managed by surgical treatment because it mimics acute abdomen. Case Reports: Two epiploic appendagitis cases were reported in this article. These patients were presented to our emergency department with sign and symptoms of acute appendicitis. Surgical treatment was performed in both two patients, since epiploic appendagitis was not radiologically identified in either case preoperatively Conclusion: Surgery is not necessary in the treatment of epiploic appendagitis. A careful radiological examination, especially a computed tomography, would increase the correct diagnosis of epiploic appendagitis cases and provide an opportunity for conservative treatment. On the other hand, if cecal epiploic appendagitis can not be diagnosed preoperatively by the radiologist, surgery will be inevitable because it mimics acute appendicitis. Keywords Abstract ÖzetOlgu Sunumu / Case Report

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“…In a retrospective analysis of 20 patients of epiploic appendagitis, Hasbahceci et al, [5] showed that a solid oval, noncompressible hyperechoic mass with a subtle hypoechoic rim directly under the site of maximal tenderness, and lack of central blood flow on Doppler US (detected in five of six patients) is suggestive of epiploic appendagitis. They also showed that a pericolonic ovoid fatty mass with hyperattenuating rim and surrounding fat stranding is a diagnostic finding, which was present in all 20 patients of epiploic appendagitis.…”

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confidence: 97%