The hyperattenuating ring sign of acute epiploic appendagitis

Han, Qi; Nair, Rashmi; DiSantis, David J.

doi:10.1007/s00261-016-0641-y

Cited by 8 publications

(5 citation statements)

References 3 publications

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“…The most common CT feature in EA [12] is an oval lesion usually smaller than 5 cm in diameter [13] , with the "hyperattenuating ring sign" [14] , which is a thin, hyperdense rim-enhancing lesion (thickness of 1 -3 mm), and the perilesional inflammatory fat attenuation [13] . Sigmoid colon and caecum are the most commonly involved sites of EA.…”

Section: Discussionmentioning

confidence: 99%

Acute Epiploic Appendagitis as a Rare Case of Acute Abdomen: A Case Report

Jin Yu Chieng,

Yoong Fei Chiang,

Yan Pan

2020

ghl

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We reported the unusual case of a 39-year-old man, who presented to a private hospital located at Kuala Lumpur, Malaysia, with intense left iliac fossa abdominal pain. The diagnosis of acute epiploic appendagitis (EA) was made based on the computed tomography (CT) findings of a well-defined ovoid lesion of fat density at the junction of sigmoid and descending colon, with thin hyperdense rim, together with surrounding mesenteric fat, and thickening of the adjacent peritoneum. He was treated conservatively without surgery, and the pain subsided gradually. Our case reaffirmed that careful diagnosis is necessary to avoid invasive surgical interventions that are largely unnecessary as a treatment for acute EA.

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Section: Discussionmentioning

confidence: 99%

Acute Epiploic Appendagitis as a Rare Case of Acute Abdomen: A Case Report

Jin Yu Chieng,

Yoong Fei Chiang,

Yan Pan

2020

ghl

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“…In cases of acute epiploic appendagitis, US evaluation shows, in the patient's area of maximal tenderness, the presence of a small (2-4 cm in maximal diameter) rounded or ovoid, noncompressible, and hyperechoic mass adherent to the colonic wall, without internal blood flow on color or power Doppler studies, frequently surrounded by a subtle hypoechoic line [11, 16, 22, 23]. The typical CT findings in cases of acute epiploic appendagitis include the presence of rounded or ovoid fat-density mass adjacent to the colonic wall, usually less than 5 cm in diameter (typical diameter range: 1.5–3.5 cm) [11, 19], the “hyperattenuating/hyperdense ring sign” [24], a hyperdense enhancing rim (thickness of 1-3 mm) surrounding the lesion, and the perilesional inflammatory fat stranding [11]. A pathognomonic CT finding of epiploic appendagitis is the “central dot sign”, characterized by a central, ill-defined round area of high attenuation within the fat-density mass [25, 26].…”

Section: Discussionmentioning

confidence: 99%

Acute Epiploic Appendagitis: A Nonsurgical Abdominal Pain

Serafino

Iacobellis

Trovato

et al. 2019

Case Reports in Emergency Medicine

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Epiploic appendagitis is a relatively rare disease characterized by an inflammation of fat-filled serosal outpouchings of the large intestine, called epiploic appendices. Diagnosis of epiploic appendagitis is made challenging by the lack of pathognomonic clinical features and should therefore be considered as a potential diagnosis by exclusion first of all with appendicitis or diverticulitis which are the most important causes of lower abdominal pain. Currently, with the increasing use of ultrasound and computed tomography in the evaluation of acute abdominal pain, epiploic appendagitis can be diagnosed by characteristic diagnostic imaging features. We present a case of epiploic appendagitis with objective of increasing knowledge of this disease and its diagnostic imaging findings, in order to reduce harmful and unnecessary surgical interventions.

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“…5 Torsion of an appendage, followed by acute ischemia can cause necrosis of its adipose content, inflammation and localized peritoneal irritation. 13 The twisting of the appendages is predisposed by limited blood supply, by pedunculated form, by bulbous configuration, and high mobility. 10 Other causes such as bowel obstruction, hernia incarceration, lymphoid hyperplasia and bacterial invasion secondary to an abdominal infection have already been described.…”

Section: Anatomymentioning

confidence: 99%

“…The most frequent characteristics of this pathology in CT are paracolic oval mass, from 1 to 5cm, hypodense, with adipose content delimited by a halo with greater attenuation (the signal of the hiperatenuante ring), which is believed to portray the thrombosed appendage vessel (Figure 1). 3,4,13,16,17 A thickening of the parietal peritoneum can be observed, caused by the inflammatory process 18 . The thickness of the colon wall is usually not altered.…”

Section: Tomographic Findingsmentioning

confidence: 99%

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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The hyperattenuating ring sign of acute epiploic appendagitis

Cited by 8 publications

References 3 publications

Acute Epiploic Appendagitis as a Rare Case of Acute Abdomen: A Case Report

Acute Epiploic Appendagitis as a Rare Case of Acute Abdomen: A Case Report

Acute Epiploic Appendagitis: A Nonsurgical Abdominal Pain

Clinical, diagnostic and therapeutic aspects of the epiploic appendagitis

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