Primary epiploic appendagitis: CT manifestations

Şirvancı, Mustafa; Tekelioǧlu, Mehmet H; Duran, Cihan; Yardimci, H.; Onat, Levent; Özer, Kadir Burak

doi:10.1016/s0899-7071(00)00236-9

Cited by 32 publications

(20 citation statements)

References 9 publications

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“…The chest CT in our patient showed an encapsulated fatty lesion with inflammatory changes, including dense strands and thickening of the adjacent pericardium, and these findings are similar to those observed in patients with primary epiploic appendagitis in the peritoneal space (6). …”

Section: Discussionsupporting

confidence: 87%

MRI Findings of Pericardial Fat Necrosis: Case Report

et al. 2011

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Pericardial fat necrosis is an infrequent cause of acute chest pain and this can mimic acute myocardial infarction and acute pericarditis. We describe here a patient with the magnetic resonance imaging (MRI) findings of pericardial fat necrosis and this was correlated with the computed tomography (CT) findings. The MRI findings may be helpful for distinguishing pericardial fat necrosis from other causes of acute chest pain and from the fat-containing tumors in the cardiophrenic space of the anterior mediastinum.

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Section: Discussionsupporting

confidence: 87%

MRI Findings of Pericardial Fat Necrosis: Case Report

et al. 2011

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“…Imaging findings.-In epiploic appendagitis, CT reveals a well-defined oval or round area of fat with an enhancing rim located immediately adjacent to the colon (Fig 24) (72)(73)(74)(75)(76)(77). Epiploic appendagitis can occur anywhere in the colon.…”

Section: Epiploic Appendagitismentioning

confidence: 99%

CT Imaging of Colitis

Thoeni¹,

Cello²

2006

Radiology

239

110

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Computed tomography (CT) is widely used to assess patients with nonspecific abdominal pain or who are suspected of having colitis. The authors recommend multidetector CT with oral, rectal, and intravenous contrast material and thin sections, which can accurately demonstrate inflammatory changes in the colonic wall and help assess the extent of disease. In most cases, the final diagnosis of the type of colitis is based on clinical and laboratory data and colonoscopic and biopsy findings, but specific CT features help narrow the differential diagnosis. Ulcerative colitis is distinguished from granulomatous colitis (Crohn disease) in terms of location of involvement, extent and appearance of colonic wall thickening, and type of complications. Ulcerative colitis and Crohn disease (granulomatous colitis) are rarely associated with ascites, which is often seen in infectious, ischemic, and pseudomembranous colitis. Pseudomembranous colitis also demonstrates marked wall thickening and, occasionally, skip areas but is associated with broad-spectrum antibiotic treatment or chemotherapy. Neutropenic colitis is characterized by right-sided colonic and ileal involvement, whereas ischemic colitis is characterized by vascular distribution pattern and history. Diverticulitis is a focal asymmetric process with fascial thickening and inflamed diverticula. Dilatation of a thick-walled appendix with increased enhancement and adjacent stranding suggests appendicitis, but inflammatory changes may extend to the cecum and terminal ileum. Epiploic appendagitis is a focal rim-enhancing area next to the colon, usually without any substantial colonic wall thickening.

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“…Ayrıca apendisiel drenaj venlerinin torsiyon olmadan spontan trombozu sonucu da oluşabilir. Sekonder apendisitis epiploika ise apendisit, divertikülit ya da kolesistit gibi komşu yapıların inflamatuar durumunu takiben gelişir [2]. Primer apendisitis epiploikanın prevalansı hastalığın kendini sı-nırlayıcı özellikte olması nedeniyle tam olarak bilinmemektedir ve sıklığı değişik çalışmalarda farklı oranlarda bildirilmiştir.…”

Section: Discussionunclassified

“…Ancak primer apandisitis epiploikada BT bulguları patagnomonik olup kesin tanı koydurudur. Perikolonik alanda yerleşimli periferik rim ile çevrili (seroza tabakasındaki inflamasyona bağ-lı), komşu periton yağına göre minimal daha dens olarak izlenen oval yada yuvarlak şekilli, yağ içerikli lezyonlar ve periapendisiel yağ dokusunda inflamatuar değişikliklere bağlı dansite artımları apendisitis epiploikanın temel bulgularıdır [2]. Ayrıca tromboze vene karşılık gelen santral yerleşimli yuvarlak yada lineer şekilli hiperdansite, visseral ve parietal peritonda kalınlaşma ve komşu barsak ansında kompresyon diğer BT bulgularıdır.…”

Section: Discussionunclassified

A Rare Cause of Acute Abdominal Pain: Primary Appendagitis Epiploica

Ergün¹,

Lakadamyalı²

2015

Ann Clin Anal Med

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ÖzetAkut karın ağrısına neden olan primer apendisitis epiploika, kolonun epiploik apendikslerinin kendi kendini sınırlayan benign inflamatuar hastalığıdır. Tedavisi konservatiftir ve klinik olarak akut apandisit ya da omental torsiyon gibi cerrahi tedavi gerektiren durumlara benzer. Ancak nadir olması nedeni ile genellikle akut abdominal ağrılı olgularda hem cerrah hem de radyolog tarafından göz ardı edilir. Ancak bu hastalığın bilgisayarlı tomografi (BT) bulguları karakteristik olup tanı koydurucudur. Bu nedenle gereksiz cerrahi girişimlerin önlenmesi açısından bu hastalığın farkında olunması ve teşhis için BT tetkikinin seçilmesi son derece önemlidir.Biz burada bilgisayarlı tomografi ile tanısı konan akut abdominal ağrıya neden olan primer apendisitis epiploika olgusunu sunduk. Anahtar KelimelerApendisitis Epiploika; Bilgisayarlı Tomografi; Akut Abdominal Ağrı AbstractPrimary appendagitis epiploica -one of the causes of acute abdominal pain -is a self-limited rare benign inflammatory condition involving the colonic epiploic appendages. Their therapy is conservative and clinically mimics other conditions requiring surgery such as acute appendicitis or omental torsion. However, being a quite rare condition is the reason they are usually neglected by both the surgeon and the radiologist. However the computed tomography (CT) findings are rather characteristic and pathognomonic. Thus, to consider CT as the diagnostic modality of choice is extremely important in order to diagnose the condition and to avoid unnecessary surgical interventions. This is a paper reporting an acute abdominal pain case of primary appendicitis epiploica diagnosed using computed tomography.

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Primary epiploic appendagitis: CT manifestations

Cited by 32 publications

References 9 publications

MRI Findings of Pericardial Fat Necrosis: Case Report

MRI Findings of Pericardial Fat Necrosis: Case Report

CT Imaging of Colitis

A Rare Cause of Acute Abdominal Pain: Primary Appendagitis Epiploica

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