Differential diagnosis of left-sided abdominal pain: Primary epiploic appendagitis<i>vs</i>colonic diverticulitis

Hwang, Jeong Ah; Kim, Sun Moon; Song, Hyun Jung; Lee, Yu Mi; Moon, Kyung Min; Moon, Chang Gi; Koo, Hoon Sup; Song, Kyung Ho; Kim, Yong Seok; Lee, Tae Hee; Huh, Kyu Chan; Choi, Young Woo; Kang, Young Woo; Chung, Woo Suk

doi:10.3748/wjg.v19.i40.6842

Cited by 40 publications

(50 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…PEA patients commonly present with acute-onset and welllocalized abdominal pain. The pain is mostly located in the left lower quadrant (60-80%) but may also be present in the right lower quadrant (2,3). Some patients may also present with subferile fever.…”

Section: Discussionmentioning

confidence: 99%

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

Erkan¹

2016

Ann Clin Anal Med

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

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

Erkan¹

2016

Ann Clin Anal Med

View full text Add to dashboard Cite

show abstract

“…To achieve this, the features and clinical course of the disease should be fully understood. Acute appendicitis, acute cholecystitis, acute diverticulitis, mesenteric panniculitis, omental infarct, and neoplasms are among the most common pathologies that should be considered in a differential diagnosis [8]. In complicated, nonremissingor relapsing cases such as pericolic abscesses, tight attachments in the abdomen and resulting possible brid ileus, and intusseption, diagnostic approaches may be an option.…”

Section: Discussionmentioning

confidence: 99%

“…An average of 50 to 100 epiploic appendices is situated along the colonic wall, mostly under the serosa of transvers, descending and sigmoid colon especially. They can be more distinctive in the obese and people who lost weight rapidly [4] [5] [8].…”

Section: Discussionmentioning

confidence: 99%

Is Outpatient Follow-Up of Epiploic Appendagitis with NSAIDs Alone and Noantibiotics Possible?

İlhan¹,

Sönmez²,

Gök³

et al. 2014

OJGas

View full text Add to dashboard Cite

Purpose: To assess the clinical course of patients diagnosed as having "epiploic appendagitis" who are given only NSAIDs without antibiotic treatment. Materials and Methods: Between December 2010 and November 2013, twelve patients were presented to the Emergency Surgery Department, Istanbul Medical Faculty, Istanbul University with abdominal pain and were diagnosed having "epiploic appendagitis". The diagnoses were made using the information gathered from patients' complaints, physical examination, biochemical results, and radiologic images (Abdominal X-Ray, Abdominal Ultrasonography [USG], and Contrast-Enhanced Computerized Tomography [CT]). We evaluated and recorded the patients' age distribution, sex difference, laboratory results, radiologic images, length of hospital stay, and control exams after discharge. Results: Twelve out of 35,574 (0.033%) patients who were presented to our Emergency Surgery Department with abdominal pain and were hospitalized as "epiploic appendagitis". Of these 12 patients, 7 were male (58.3%), and 5 were female (41.7%). The mean age of the patients was 43.5 (range: 22 to 60). The mean time passed between the beginning of the symptoms and presentation to the hospital was 1 day. The length of hospital stay was 1 to 2 days with a mean of 1.3 days. All patients were followed-up non-invasively under NSAID treatment without antibiotherapy. No complications were observed throughout the hospitalization period. The follow-up period of the patients was between 2 to 31 months with a mean of 16 months. Conclusion: Epiploic appendagitis is a self-limiting, benign disease, but differential diagnosis should be done carefully. Patients who are diagnosed with epiploic appendagitis may be followed-up with NSAIDs alone without hospitalization or antibiotherapy.

show abstract

“…Therefore the common presumptive clinical diagnosis for patients with PEA before radiologic interventions was either diverticulitis or appendicitis according to the affected region of the colon [1,2]. Routine laboratory parameters may be within normal limits except sometimes slightly elevated Creactive protein and neutrophile leucocytes [7].…”

Section: Discussionmentioning

confidence: 99%

“…Apendix epiploica are small pouches of peritoneum filled with fat and small vessels that attach to the serosal surface of the colon by a vascular stalk [1,2]. They extend from cecum to the rectosigmoid junction and are covered by the peritoneum [3].…”

Section: Introductionmentioning

confidence: 99%

A Rare Cause of Left Lower Quadrant Pain at a Rare Localization of Colon: Primary Acute Epiploic Appendagitis of Descendant Colon

Erbay¹

2016

Med-Science

View full text Add to dashboard Cite

show abstract

Differential diagnosis of left-sided abdominal pain: Primary epiploic appendagitisvscolonic diverticulitis

Abstract: If patients have left-sided localized abdominal pain without associated symptoms or laboratory abnormalities, clinicians should suspect the diagnosis of PEA and consider a CT scan.

Cited by 40 publications

References 21 publications

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

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

Is Outpatient Follow-Up of Epiploic Appendagitis with NSAIDs Alone and Noantibiotics Possible?

A Rare Cause of Left Lower Quadrant Pain at a Rare Localization of Colon: Primary Acute Epiploic Appendagitis of Descendant Colon

Contact Info

Product

Resources

About