Primary epiploic appendagitis: Reconciling CT and clinical challenges

Saad, Jamel; Mustafa, Ali; Elsani, Asem; Alharbi, Fawaz; Alghamdi, Saad

doi:10.1007/s12664-014-0466-y

Cited by 14 publications

(20 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Acute appendagitis is a rare inflammatory affection, which can be either primary or secondary. It occurs mostly in obese patients in the second to fifth decades of life [1] . Heavy exercise is also known to be a contributing factor.…”

Section: Discussionmentioning

confidence: 99%

Acute epiploic appendagitis: Radiologic and clinical features of 12 patients

Dali

Ali

Ines

et al. 2016

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Acute epiploic appendagitis: Radiologic and clinical features of 12 patients

Dali

Ali

Ines

et al. 2016

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…However, no clear guidance is currently available to suggest which patients should undergo percutaneous drainage versus surgery (12). Although, laparoscopy or midline laparotomy are necessary on unexpected diagnosis if acute appendicitis or diverticulitis were suspected such as in our case [8,16,17].…”

Section: Discussionmentioning

confidence: 88%

“…Generally, the treatment of uncomplicated forms is conservative, and requires an observation for 24 hours , analgesic and hypocaloric diet. However, some authors have suggested that the surgical method of ligation and excision of in amed epiploid appendages is the only way to prevent recurrence (16) .…”

Section: Discussionmentioning

confidence: 99%

Acute Abdomen in Adult Revealing Unusual Complicated Epiploic Appendagitis: A Case Report

Charifi

Youssef

Chbani

et al. 2020

Preprint

View full text Add to dashboard Cite

BACKGROUND Epiploic appendagitis is a torsion of fatty appendages of ligamentum trees (1), its a rare cause of abdominal pain that usually manifests by right or left iliac fossa pain, reminding of appendicitis, diverticulitis or ischemia of the omentum. CASE PRESENTATION We report the case of a 56 years old male patient admitted for an epigastric pain and a right-upper quadrant abdominal pain, for whom he underwent an abdominal ultrasound and a CT-scan who shown an abscessed mass under colic transverse to the unusual seat. CT scan is still the key modality for diagnosis, avoiding unnecessary surgery. Complications of primary epiploic appendagitis have rarely been described in the literature. Another more rare complication is appendagitis with associated abscess, in this condition, we must also think about complicated diverticulitis. The treatment of uncomplicated forms is generally conservative, however, some authors have suggested a surgical method . For therapeutic management of its complication, there has been much interest in the use of minimally invasive techniques such as percutaneous drainage to minimize the morbidity and mortality that is associated with surgery. CONCLUSION The diagnosis of epiploic appendagitis is still uncommon, CT scan, can eliminate other diagnosis of acute abdominal pain such as diverticulitis and appendicitis. It also allows the diagnosis of the rare complicated forms such as abscesses associated with epiploic appendagitis. The treatment of typical forms is usually conservative, while the complicated form requires surgery because of the potential associated pathology.

show abstract

“…[8,9] Several studies with limited number of patients were reported in the literature. Chen et al [10] reported 21 patients and Saad et al [11] reported 18 patients diagnosed with PEA in their case reports. Thus, our study seems to have one of the largest study population in the literature.…”

Section: Discussionmentioning

confidence: 98%