Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2017 / Cilt: 23 - Sayı: 6

Computed tomography findings of primary epiploic appendagitis as an easily misdiagnosed entity: Case series and review of literature

Pages
489–494
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

BACKGROUND: Primer epiploic appendagitis (PEA) is an uncommon condition.METHODS: We retrospectively reviewed the clinical records and computed tomography (CT) findings of 45 patients with PEA.RESULTS: On the basis of physical examination and pain localization, presumptive clinical diagnosis was acute appendicitis (n=13), acute cholecystitis (n=2), acute diverticulitis (n=19), renal colic (n=7) and ovarian pathology (n=4).CONCLUSION: Although it has no characteristic clinical and laboratory features, CT is the best modality for accurate diagnosis of PEA.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:BACKGROUND: Primer epiploic appendagitis (PEA) is an uncommon condition.METHODS: We retrospectively reviewed the clinical records and computed tomography (CT) findings of 45 patients with PEA.RESULTS: On the basis of physical examination and pain localization, presumptive clinical diagnosis was acute appendicitis (n=13), acute cholecystitis (n=2), acute diverticulitis (n=19), renal colic (n=7) and ovarian pathology (n=4).CONCLUSION: Although it has no characteristic clinical and laboratory features, CT is the best modality for accurate diagnosis of PEA.
📊
Key Findings & Data:BACKGROUND: Primer epiploic appendagitis (PEA) is an uncommon condition.METHODS: We retrospectively reviewed the clinical records and computed tomography (CT) findings of 45 patients with PEA.RESULTS: On the basis of physical examination and pain localization, presumptive clinical diagnosis was acute appendicitis (n=13), acute cholecystitis (n=2), acute diverticulitis (n=19), renal colic (n=7) and ovarian pathology (n=4).CONCLUSION: Although it has no characteristic clinical and laboratory features, CT is the best modality for accurate diagnosis of PEA.
💡
Conclusion & Impact:BACKGROUND: Primer epiploic appendagitis (PEA) is an uncommon condition.METHODS: We retrospectively reviewed the clinical records and computed tomography (CT) findings of 45 patients with PEA.RESULTS: On the basis of physical examination and pain localization, presumptive clinical diagnosis was acute appendicitis (n=13), acute cholecystitis (n=2), acute diverticulitis (n=19), renal colic (n=7) and ovarian pathology (n=4).CONCLUSION: Although it has no characteristic clinical and laboratory features, CT is the best modality for accurate diagnosis of PEA.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: Primer epiploic appendagitis (PEA) is an uncommon condition.METHODS: We retrospectively reviewed the clinical records and computed tomography (CT) findings of 45 patients with PEA.RESULTS: On the basis of physical examination and pain localization, presumptive clinical diagnosis was acute appendicitis (n=13), acute cholecystitis (n=2), acute diverticulitis (n=19), renal colic (n=7) and ovarian pathology (n=4).CONCLUSION: Although it has no characteristic clinical and laboratory features, CT is the best modality for accurate diagnosis of PEA.

🔖

Cite This Article

ERGELEN, R., ÖZDEMİR, B., TÜRELİ, D., DEMİRBAŞ, B. T., ASADOV, R., TÜNEY, D. (2017). Computed tomography findings of primary epiploic appendagitis as an easily misdiagnosed entity: Case series and review of literature. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 23 - Sayı: 6, 489–494. https://ajindex.com/articles/323657

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (17)

  1. Dockerty MB, Lynn TE, Waugh JM. A clinicopathologic study of the epiploic appendages. Surg Gynecol Obstet 1956;103:423-33
  2. Danielson K, Chernin MM, Amberg JR, Goff S, Durham JR. Epiploic appendicitis: CT characteristics. J Comput Assist Tomogr 1986;10:142-3
  3. Carmichael DH, Organ CH Jr. Epiploic disorders. Conditions of the epiploic appendages. Arch Surg 1985;120:1167-72
  4. Singh AK, Gervais DA, Hahn PF, Sagar P, Mueller PR, Novelline RA. Acute epiploic appendagitis and its mimics. Radiographics 2005;25:1521-34
  5. Legome EL, Belton AL, Murray RE, Rao PM, Novelline RA. Epiploic appendagitis: the emergency department presentation. J Emerg Med 2002;22:9-13
  6. Ng KS, Tan AG, Chen KK, Wong SK, Tan HM. CT features of primary epiploic appendagitis. Eur J Radiol 2006;59:284-8
  7. Son HJ, Lee SJ, Lee JH, Kim JS, Kim YH, Rhee PL, et al. Clinical diagnosis of primary epiploic appendagitis: differentiation from acute diverticulitis. J Clin Gastroenterol 2002;34:435-8
  8. Carmichael DH, Organ CH Jr. Epiploic disorders. Conditions of the epiploic appendages. Arch Surg 1985;120:1167-72
  9. Ross JA. Vascular loops in the appendices epiploicae; their anatomy and surgical significance, with a review of the surgical pathology of appendices epiploicae. Br J Surg 1950;37:464-6
  10. Chen JH, Wu CC, Wu PH. Epiploic appendagitis: an uncommon and easily misdiagnosed disease. J Dig Dis 2011;12:448-52
  11. Saad J, Mustafa HA, Elsani AM, Alharbi F, Alghamdi S. Primary epiploic appendagitis: reconciling CT and clinical challenges. Indian J Gastroenterol 2014;33:420-6
  12. Vázquez GM, Manzotti ME, Alessandrini G, Lemos S, Perret MC, Catalano HN. Primary epiploic appendagitis: clinical features in 73 cases. Medicina (B Aires) 2014;74:448-50
  13. Sand M, Gelos M, Bechara FG, Sand D, Wiese TH, Steinstraesser L, et al. Epiploic appendagitis--clinical characteristics of an uncommon surgical diagnosis. BMC Surg 2007;7:11
  14. Hwang JA, Kim SM, Song HJ, Lee YM, Moon KM, Moon CG, et al. Differential diagnosis of left-sided abdominal pain: primary epiploic appendagitis vs colonic diverticulitis. World J Gastroenterol 2013;19:6842-8
  15. Rioux M, Langis P. Primary epiploic appendagitis: clinical, US, and CT findings in 14 cases. Radiology 1994;191:523-6
  16. Almeida AT, Melão L, Viamonte B, Cunha R, Pereira JM. Epiploic appendagitis: an entity frequently unknown to clinicians-diagnostic imaging, pitfalls, and look-alikes. AJR Am J Roentgenol 2009;193:1243-51
  17. Rao PM, Novelline RA.