CASE REPORT: Primary Epiploic Appendagitis: An Underappreciated Diagnosis. A Case Series and Review of the Literature

Sangha, Simren; Soto, Jorge A.; Becker, James M.; Farraye, Francis A.

doi:10.1023/b:ddas.0000017463.46961.94

Cited by 32 publications

(40 citation statements)

References 14 publications

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“…Ils ont pour la majorité d'entre eux une épaisseur de 1 à 2 cm et une longueur de 2 à 5 cm. Chez la plupart des adultes, on dénombre entre le caecum et la jonction rectosigmoïdienne de 50 à 100 franges épiploïques [6][7][8]. Chacune d'entre elles est vascularisée par 1 ou 2 petites artérioles et drainée par 1 ou 2 veinules qui passent dans un pédicule étroit vers la base de la frange.…”

Section: Discussionunclassified

Appendagite épiploïque primitive: un diagnostic non chirurgical souvent méconnu

Kianmanesh¹,

Abdullah²,

Scaringi³

et al. 2007

La Presse Médicale

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Section: Discussionunclassified

Appendagite épiploïque primitive: un diagnostic non chirurgical souvent méconnu

Kianmanesh¹,

Abdullah²,

Scaringi³

et al. 2007

La Presse Médicale

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“…Physical exertion or an extreme stretching movement of the abdomen has been reported to be a predisposing factor in the development of PEA (Ghahremani et al, 1992;Jennings & Collins, 1987;Ross, 1950;Rioux & Langis, 1994). Although epiploic appendages are present along the entire length of the large intestine, published reports suggest that 57% of PEA cases affect the rectosigmoid junction and 26% of cases affect the ileocecal region (Legome et al, 1999;Sangha et al, 2004;Hiller et al, 2000). An inflamed epiploic appendage in these locations produces a sharp, focal, non-migratory abdominal pain that can easily be mistaken for diverticulitis, appendicitis or acute cholecystitis (Boulanger et al, 2002;Schnedl et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…An inflamed epiploic appendage in these locations produces a sharp, focal, non-migratory abdominal pain that can easily be mistaken for diverticulitis, appendicitis or acute cholecystitis (Boulanger et al, 2002;Schnedl et al, 2011). Patients are predominantly afebrile and do not usually have gastrointestinal symptoms such as nausea, vomiting, anorexia or changes in bowel habits (Legome et al, 2002;Sangha, 2004). Physical examination is usually notable for focal tenderness localized over the site of inflammation (Rioux & Langis, 1994).…”

Section: Discussionmentioning

confidence: 99%

An Uncommon Cause of Acute Abdominal Pain: Primary Epiploic Appendagitis in the Emergency Setting

Casey¹,

DiVito²,

Lupow³

et al. 2017

EJBM

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In the emergency setting, the diagnosis of benign causes of acute abdominal pain can prevent unnecessary medical interventions. To illustrate this point, we report the case of a 28-year-old man who presented to the emer- gency department with symptoms suggestive of acute diverticulitis. Abdominal computed tomography (CT) established, instead, a diagnosis of primary epiploic appendagitis (PEA), which was managed expectantly. The patient’s symptoms resolved within one week of hospital discharge and he remained free of pain at a five-month phone follow-up. Increased awareness of PEA and its self-limited course can help the emergency physician avoid unnecessary imaging studies and expectantly manage this cause of acute abdominal pain.

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“…The most common treatment method is the conservative approach with anti-inflammatory drugs or short-term opiates (acetaminophen/codeine) (3,4,6). Antibiotic use and hospitalization is usually not required in uncomplicated cases (7). Surgical treatment is performed in patients not responding to the conservative approach or in patients developing complications, such as intussusception, abscess, or intestinal obstruction (8).…”

Section: Journal Of Clinical and Analytical Medicinementioning

confidence: 99%

A Rare Cause of Abdominal Pain: Primary Epiploic Appendagitis (PEA)

Erkan¹

2016

Ann Clin Anal Med

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ÖzetPrimer epiploik appendajitis (PEA), epiploik apendiksleri drene eden santral venin torsiyon yada spontan trombozu sonucu gelişen nadir bir hastalıktır. Sıklıkla kendini sınırlar ve cerrahi tedavi gerektirmez, ancak cerrahi girişim yada agresif medikal tedavi gerektiren appandisit, divertikülit yada kolesistit gibi tabloları taklit edebilir. Akut karın ağrısıyla başvuran hastalarda gereksiz cerrahi girişimi önlemek adına PEA akılda bulundurulmalıdır. Biz de karın ağrısıyla başvuran ve PEA tanısı alan bir olgumuzu sunacağız. Anahtar KelimelerKarın Ağrısı; Primer Epiploik Apendajitis; Tomografi AbstractPrimary epiploic appendagitis (PEA) is a rare disease caused by torsion or spontaneous thrombosis of the central vein that drains epiploic appendages (EA). Primary Epiploic Appendagitis (PEA) is an ischemic infarction. Although PEA is a self-limiting disease and does not require surgical intervention in most cases, it may mimic diseases that require surgical intervention or aggressive medical therapy, such as appendicitis, diverticulitis, or cholecystitis. In order to avoid unnecessary surgical intervention, PEA should be kept in mind when patients present with acute abdominal pain. In this report, we present a PEA case admitted with abdominal pain.

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CASE REPORT: Primary Epiploic Appendagitis: An Underappreciated Diagnosis. A Case Series and Review of the Literature

Cited by 32 publications

References 14 publications

Appendagite épiploïque primitive: un diagnostic non chirurgical souvent méconnu

Appendagite épiploïque primitive: un diagnostic non chirurgical souvent méconnu

An Uncommon Cause of Acute Abdominal Pain: Primary Epiploic Appendagitis in the Emergency Setting

A Rare Cause of Abdominal Pain: Primary Epiploic Appendagitis (PEA)

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