Epiploic appendagitis: the emergency department presentation

Legome, Eric; Belton, Austin L; Murray, Robert E.; Rao, P. M.; Novelline, Robert A.

doi:10.1016/s0736-4679(01)00430-9

Cited by 86 publications

(103 citation statements)

References 9 publications

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“…An inflamed epiploic appendage in these locations produces a sharp, focal, non-migratory abdominal pain that can easily be mistaken for diverticulitis, appendicitis or acute cholecystitis (Boulanger et al, 2002;Schnedl et al, 2011). Patients are predominantly afebrile and do not usually have gastrointestinal symptoms such as nausea, vomiting, anorexia or changes in bowel habits (Legome et al, 2002;Sangha, 2004). Physical examination is usually notable for focal tenderness localized over the site of inflammation (Rioux & Langis, 1994).…”

Section: Discussionmentioning

confidence: 99%

“…Pathophysiologically, PEA or SEA are characterized by a cascade of ischemia, infarction and aseptic fat necrosis that results in clinical symptoms. Due to the presence of epiploic appendages along the entire length of the large intestine, these clinical symptoms tend to be nonspecific and closely mimic other causes of abdominal pain (Legome, 2002;Lien et al, 2004;Rioux & Langis, 1994).…”

Section: Introductionmentioning

confidence: 99%

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An Uncommon Cause of Acute Abdominal Pain: Primary Epiploic Appendagitis in the Emergency Setting

Casey¹,

DiVito²,

Lupow³

et al. 2017

EJBM

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In the emergency setting, the diagnosis of benign causes of acute abdominal pain can prevent unnecessary medical interventions. To illustrate this point, we report the case of a 28-year-old man who presented to the emer- gency department with symptoms suggestive of acute diverticulitis. Abdominal computed tomography (CT) established, instead, a diagnosis of primary epiploic appendagitis (PEA), which was managed expectantly. The patient’s symptoms resolved within one week of hospital discharge and he remained free of pain at a five-month phone follow-up. Increased awareness of PEA and its self-limited course can help the emergency physician avoid unnecessary imaging studies and expectantly manage this cause of acute abdominal pain.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An Uncommon Cause of Acute Abdominal Pain: Primary Epiploic Appendagitis in the Emergency Setting

Casey¹,

DiVito²,

Lupow³

et al. 2017

EJBM

View full text Add to dashboard Cite

show abstract

“…Los hallazgos de la TC son patognomónicos, presentándose el apéndice afectado como una imagen redondeada, ovoidea de densidad grasa dependiendo de la serosa del colon, rodeado de una fina imagen lineal de 1-2 mm de grosor. En las proximidades existe un halo de tejido adiposo denso en forma de estrías o bandas (1)(2)(3)(4). Puede existir o no engrosamiento del peritoneo parietal y/o de la pared del colon.…”

Section: Discussionunclassified

“…El pronóstico es excelente, aunque han sido descritos potenciales complicaciones como torsión del apéndice inflamado, adherencia a otra víscera ocasionando obstrucción o formación de abscesos (3 …”

Section: Discussionunclassified

Apendagitis epiploica como etiología de dolor abdominal agudo

Vega

Pérez

Ramos

et al. 2008

Rev. esp. enferm. dig.

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“…Tedavisi tartışmalı olan PAE, genel olarak kendini sınırlayan ve benign seyirli bir patolojidir. Altın standart tanı yöntemi BT'dir (8) . Literatür incelendiğinde, olguların daha çok erişkin yaş grubunda olduğu ve bunların konservatif olarak (ameliyat edilmeden) tedavi edilebileceği bildirilmiştir.…”

Section: Mert Ve Ark Apendiks Epiploika Torsiyonu: Nadir Bir Akuunclassified

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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Epiploic appendagitis: the emergency department presentation

Cited by 86 publications

References 9 publications

An Uncommon Cause of Acute Abdominal Pain: Primary Epiploic Appendagitis in the Emergency Setting

An Uncommon Cause of Acute Abdominal Pain: Primary Epiploic Appendagitis in the Emergency Setting

Apendagitis epiploica como etiología de dolor abdominal agudo

Torsion of epiploic appendices: An uncommon cause of acute abdomen

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