A pediatric case report of Epiploic appendagitis presented with abdominal pain

Baajlan, Ohoud; Bokhari, Hotoun; Al‐Ghamdi, Khalid A.; Zidan, Mazen

doi:10.1016/j.ijscr.2020.03.033

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…It is frequent in male in their fourth to fifth decades of life. However, it can occur at any age; Baajlana et al reported a case of EA in a patient of 10 years [11]. In the case reported here the patient was 27 years old.…”

Section: Discussionmentioning

confidence: 62%

Ultrasound Diagnosis of Primary Epiploic Appendagitis: A Case Report

Dongmo¹,

Tambe²,

Onana³

et al. 2023

OJMI

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A rare differential diagnosis for severe abdominal pain is acute epiploic appendagitis. Its symptoms resemble those of acute diverticulitis, acute appendicitis, or omental infarction quite a bit. The primary imaging method used for diagnosis is computed tomography (CT). We are describing the case of a 27-year-old guy who underwent an abdominal ultrasonography after complaining of severe left lower quadrant abdominal pain. It identified an oval and non-compressible hyperechoic mass in the left iliac fossa. The mass was surrounded by a hypoechoic rim and there was no color Doppler signal. In the absence of CT, radiologists must be able to diagnose acute epiploic appendagitis on ultrasound in order to avoid unnecessary hospital admission, pricey laboratory tests, antibiotic treatment, and unnecessary surgery. In this instance, the patient was spared from ionization exposure from a potential CT scan and other invasive treatments including surgery with associated costs because of the reliable ultrasound diagnosis of epiploic appendagitis. After receiving conservative medical treatment, the patient was placed under surveillance and then discharged.

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Section: Discussionmentioning

confidence: 62%

Ultrasound Diagnosis of Primary Epiploic Appendagitis: A Case Report

Dongmo¹,

Tambe²,

Onana³

et al. 2023

OJMI

View full text Add to dashboard Cite

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Epiploic Appendagitis: Systematic Review of a Distinctive Pathology

Acevedo-Castillo,

Macias-Cruz,

Ramirez-Cisneros

et al. 2024

The American Surgeon™

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Introduction: Epiploic appendagitis (EA) is an essential cause of abdominal pain that can be confused with more typical causes such as acute diverticulitis and appendicitis. Epiploic appendagitis accounts for 1% of all cases of abdominal pain in adults. The scarcity of information has limited its recognition as an essential nonsurgical cause of acute abdominal pain. Methods: We performed a systematic review of all EA cases published. We searched Scopus, Medline, Web of Science, and Google Scholar to retrieve all available studies from January 2000 to November 2023. Results: 196 case reports and case series were analyzed, with 371 patients with EA included. The mean age at the time of diagnosis was 39 years. Most patients were male (59%). The primary presenting symptoms were pain (100%), tenderness (59.5%), and rebound tenderness (27.4%). The left abdomen was the most common localization of pain (53%). The most frequently identified differential diagnoses were acute appendicitis (26.4%) and acute diverticulitis (16.1%). Most patients (53%) were treated conservatively, and 98 (26.4%) underwent surgical treatment. A significant difference in the choice of treatment was found for signs and symptoms such as rebound tenderness, nausea, anorexia, and diarrhea. Conclusions: Acute EA is an essential clinical condition of rare occurrence that might present a diagnostic challenge, as it can masquerade as another acute abdominal pain etiology. The optimal management of EA is conservative, so a higher recognition by surgeons and emergency physicians is essential to avoid unnecessary surgical interventions and their associated consequences.

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A pediatric case report of Epiploic appendagitis presented with abdominal pain

Cited by 2 publications

References 18 publications

Ultrasound Diagnosis of Primary Epiploic Appendagitis: A Case Report

Ultrasound Diagnosis of Primary Epiploic Appendagitis: A Case Report

Epiploic Appendagitis: Systematic Review of a Distinctive Pathology

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