Appendices Epiploicae: Clinical and Pathological Considerations

Fieber, Stanley S.

doi:10.1001/archsurg.1953.01260030344008

Cited by 48 publications

(17 citation statements)

References 4 publications

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“…Both are considered to be benign and self-limiting, although the exceptional occurrence of complications (e. g. abscess formation) has been described [26,31,32,33].…”

Section: Discussionmentioning

confidence: 99%

Infarction of omentum and epiploic appendage: Diagnosis, epidemiology and natural history

et al. 1999

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Epiploic appendicitis and segmental omentum infarction are considered to be rare conditions, which may mimic an abdominal surgical emergency. The purpose of our study was to describe clinical findings, US and CT appearance of infarction of an epiploic appendage and omentum, and to determine their epidemiological characteristics and natural history. We retrospectively studied clinical, US and CT findings at hospital admission and follow-up of all patients who were diagnosed at our institution with epiploic appendicitis or omentum infarction between June 1988 and November 1997. We found a relatively high incidence of 40 cases: 20 patients with epiploic appendicitis, 11 with omentum infarction, and 9 in whom it was not possible to discriminate between the both. All 40 patients recovered under conservative treatment without complications. We conclude that US and CT features allow a reliable diagnosis, thereby obviating unnecessary surgery. Discriminating between both conditions is of no practical relevance since treatment and prognosis are identical.

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“…Both are considered to be benign and self-limiting, although the exceptional occurrence of complications (e. g. abscess formation) has been described [26,31,32,33].…”

Section: Discussionmentioning

confidence: 99%

Infarction of omentum and epiploic appendage: Diagnosis, epidemiology and natural history

et al. 1999

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“…However, patients with epiploical complications are less unwell compared to those with acute appendicitis, usually with a slight increase in temperature and leukocyte count. [4][5][6] In other situations, the condition may mimic other acute abdominal conditions such as diverticulitis, torsion of an ovarian cyst and cholecystitis, depending on the location. Local abscess formation may occur, simulating a neoplastic process.…”

Section: Discussionmentioning

confidence: 99%

Torsion of Abdominal Appendages Presenting with Acute Abdominal Pain

2000

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Background: Diseases of the abdominal appendages are rare causes of abdominal pain in all age groups. Patients and Methods: Nine patients with torsion and infarction of abdominal appendages were retrospectively reviewed. Results: Four patients had torsion and infarction of the appendices epiploicae, four patients had torsion and infarction of part of the greater omentum, and one patient had torsion and infarction of the falciform ligament. The patient with the falciform ligament disease represents the first reported case of primary torsion and infarction of the falciform ligament, and the patient with the transverse colon epiploica represents the first reported case of vibrationinduced appendix epiploica torsion and infarction. The patient with the falciform ligament disease presented with a tender upper abdominal mass, and the remaining patients were operated upon with the preoperative diagnosis of acute appendicitis. Conclusion:The presence of normal appendix with free serosanguinous fluid in the peritoneal cavity should raise the possibility of a disease, and calls for further evaluation of the intra-abdominal organs. If the diagnosis is suspected preoperatively, CT scan and ultrasound may lead to a correct diagnosis and possibly conservative management: Laparoscopy is playing an increasing diagnostic and therapeutic role in such situations.

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“…Approximately 50-100 appendages are distributed from the cecum to the rectosigmoid junction. 8,10 They are arranged in 2 rows along the taenia libera and the taenia omentalis except for the transverse colon, where only 1 row is present. Normal appendages can be seen only on sonography or CT when they are surrounded by free intraperitoneal fluid 11 ( Figure 1).…”

Section: Anatomic Considerationsmentioning

confidence: 99%

“…Normal appendages can be seen only on sonography or CT when they are surrounded by free intraperitoneal fluid 11 ( Figure 1). Most of them are 2-5 cm long and 1-2 cm thick; the largest occur in the cecum and sigmoid colon, 8,10 with vessels passing through their narrow pedicle. The pedunculated nature and the great mobility of the appendages are factors increasing the possibility of torsion and infarction.…”

Section: Anatomic Considerationsmentioning

confidence: 99%