scholarly journals An unusual cause of acute abdominal pain after cardiac surgery: acute epiploic appendagitis

2012 ◽  
Vol 15 (2) ◽  
pp. 292-293 ◽  
Author(s):  
J.-M. Maillet ◽  
S. Thierry ◽  
J.-M. Sverzut ◽  
D. Brodaty
Keyword(s):  
Cardiac Surgery ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Epiploic Appendagitis

scholarly journals Apendagite epiploica do apêndice cecal - um relato de caso raro / Acute epiploic appendagitis of the appendix - a rare case report

2019 ◽  
Vol 65 (1) ◽  
pp. 1
Author(s):  
Kamila Motta Stradiotti ◽  
Felipe Pires de Albuquerque ◽  
Maria Laura Silveira de Castro ◽  
Laiane Milani de Arruda
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Acute Abdomen ◽  
Laboratory Tests ◽  
Acute Abdominal Pain ◽  
Correct Diagnosis ◽  
Diagnostic Methods ◽  
Diagnostic Challenge ◽  
Epiploic Appendagitis

Introdução: Apendagite epiplóica (AE) é uma causa incomum de dor abdominal causada por alterações inflamatórias e isquêmicas relacionadas à torção ou trombose venosa dos apêndices epiplóicos. Estas estruturas consistem em projeções de tecido adiposo que emergem da superfície serosa do cólon e apêndice cecal, sendo maiores e mais numerosas no cólon descendente e sigmóide. A apendagite epiplóica do apêndice cecal (AEA) é uma forma ainda mais rara de apresentação, tendo poucos casos relatados em literatura. Os sinais e sintomas da AE comumente mimetizam outras causas de abdome agudo, que varia dependendo da sua localização, devendo ser considerada no diagnóstico diferencial de dor abdominal localizada. O diagnóstico correto é fundamental para evitar gastos e procedimentos desnecessários, pois se trata de uma condição benigna e autolimitada, com tratamento conservador sendo suficiente na grande maioria dos casos. Atualmente a tomografia computadorizada é o método de escolha na avaliação de pacientes com abdome agudo. Objetivo: Relatar um caso raro de dor abdominal aguda causada por apendagite epiplóica do apêndice cecal e a importância do seu diagnóstico correto. Relato do caso: Paciente com quadro de dor abdominal aguda no quadrante inferior direito, afebril e sem outras queixas gastrointestinais associadas. Ao exame físico referiu dor à palpação profunda no quadrante inferior direito. Exames laboratoriais sem alterações. Foram solicitados exames de imagem complementares, evidenciando apêndice cecal nos limites superiores da normalidade, inflamação periapendicular e uma imagem com densidade de gordura adjacente ao apêndice. Os diagnósticos diferenciais foram de apendicite inicial e apendagite epiplóica. Foi realizado tratamento operatório e exame anatomopatológico, que confirmou o diagnóstico de apendagite epiplóica do apêndice cecal. As informações foram obtidas por meio de revisão do prontuário, entrevista com o paciente, registro dos métodos diagnósticos, incluindo exames laboratoriais, exames de imagem como tomografia computadorizada e anatomopatológico, aos quais o paciente foi submetido e uma breve revisão da literatura. Conclusão: Relatamos um caso raro de apendagite epiplóica do apêndice cecal, demonstrando um desafio diagnóstico e a importância dos métodos de imagem. Palavras Chave: Dor abdominal, Abdome agudo, Apêndice cecal, Diagnóstico por imagemABSTRACT: Introduction: Epiploic appendagitis (LA) is an uncommon cause of abdominal pain caused by inflammatory and ischemic changes related to venous torsion or thrombosis of the epiploic appendages. These structures consist of projections of adipose tissue that emerge from the serous surface of the colon and cecal appendix, being larger and more numerous in the descending and sigmoid colon. Epiploic appendagitis of the appendix (EAA) is an even rarer form of presentation, with few cases reported in the literature. The signs and symptoms of EAA commonly mimic other causes of acute abdomen, which varies depending on their location, and should be considered in the differential diagnosis of localized abdominal pain. Correct diagnosis is essential to avoid unnecessary expenses and procedures, as it is a benign and self-limited condition, with conservative treatment being sufficient in the vast majority of cases. Currently, computed tomography is the method of choice in the evaluation of patients with acute abdomen. Objectives: To describe a rare cause of abdominal pain due acute epiploic appendagitis of the appendix and reinforce the importance of the CT to diagnosis this condition and rule out other causes of acute abdominal pain. Case report: Patient with acute abdominal pain in the lower right quadrant, afebrile and without other associated gastrointestinal complaints. On physical examination, she reported pain on deep palpation in the lower right quadrant. Laboratory tests without changes. Complementary imaging exams were requested, showing the appendix at the upper limits of normal, periapendicular inflammation and an image with fat density adjacent to the appendix. The differential diagnoses were of initial appendicitis and epiplatic appendagitis. Operative treatment and anatomopathological examination were performed, which confirmed the diagnosis of appendagitis of the appendix. Information was obtained by reviewing medical records, interviewing the patient, recording diagnostic methods, including laboratory tests, imaging tests such as computed tomography, anatomopathology, and a brief review of the literature. Conclusion: We report a case of acute epiploic appendagitis of the appendix, demonstrating a diagnostic challenge and the importance of imaging methods.Keywords: Abdominal pain; Abdomen, acute; Appendix, Diagnostic imaging

An Unusual Cause of Acute Abdominal Pain in a Teenager- Epiploic Appendagitis

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Durga Prasad ◽  
Abhai Verma ◽  
Alok Kumar
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Epiploic Appendagitis

Localized acute abdominal pain: What about epiploic appendagitis?

2021 ◽  
Vol 23 ◽  
pp. 101010
Author(s):  
Caterina Barberi ◽  
Elena Castelnuovo ◽  
Hayato Kurihara
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Epiploic Appendagitis

scholarly journals Epiploic Appendagitis: A Commonly Overlooked Differential of Acute Abdominal Pain

Cureus ◽  
2021 ◽  
Author(s):  
Jude-Theddeus E Akubudike ◽  
Oghenerukevwe F Egigba ◽  
Badri Kobalava
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Epiploic Appendagitis

scholarly journals CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Dario Giambelluca ◽  
Roberto Cannella ◽  
Giovanni Caruana ◽  
Leonardo Salvaggio ◽  
Emanuele Grassedonio ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Acute Diverticulitis ◽  
Abdominal Cavity ◽  
Imaging Features ◽  
Imaging Findings ◽  
Hernia Sac ◽  
Epiploic Appendagitis ◽  
High Attenuation ◽  
Epiploic Appendage

AbstractEpiploic appendagitis is a rare cause of acute abdominal pain, determined by a benign self-limiting inflammation of the epiploic appendages. It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute diverticulitis or appendicitis. Given its importance as clinical mimicker, imaging plays a crucial role to avoid inaccurate diagnosis that may lead to unnecessary hospitalization, antibiotic therapy, and surgery. CT represents the gold standard technique for the evaluation of patients with indeterminate acute abdominal pain. Imaging findings include the presence of an oval lesion with fat-attenuation surrounded by a thin hyperdense rim on CT (“hyperattenuating ring sign”) abutting anteriorly the large bowel, usually associated with inflammation of the adjacent mesentery. A central high-attenuation focus within the fatty lesion (“central dot sign”) can sometimes be observed and is indicative of a central thrombosed vein within the inflamed epiploic appendage. Rarely, epiploic appendagitis may be located within a hernia sac or attached to the vermiform appendix. Chronically infarcted epiploic appendage may detach, appearing as an intraperitoneal loose calcified body in the abdominal cavity. In this review, we aim to provide an overview of the clinical presentation and key imaging features that may help the radiologist to make an accurate diagnosis and guide the clinical management of those patients.

Epiploic Appendagitis: A Rare Cause of Acute Abdominal Pain

2017 ◽  
Vol 112 ◽  
pp. S778-S779
Author(s):  
Pratyusha Bollimunta ◽  
Sowjanya Naha ◽  
Sreelakshmi Panginikkod ◽  
Sheba John
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Epiploic Appendagitis

scholarly journals Bilateral Epiploic Appendagitis: A Rather Benign but Diagnostically Challenging Cause of Acute Abdominal Pain

Cureus ◽  
2020 ◽  
Author(s):  
Amman Yousaf ◽  
Soban Ahmad ◽  
Fariha Ghaffar ◽  
Sadia Sajid ◽  
Sundus Ikram
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Epiploic Appendagitis
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