Diagnosing and treating epiploic appendagitis: a review of two cases.
Journal
Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
20
02
2023
accepted:
01
03
2023
medline:
1
4
2023
entrez:
31
3
2023
pubmed:
1
4
2023
Statut:
epublish
Résumé
Epiploic appendagitis (EA) is a rare condition caused by the infarction of the epiploic appendages, small outpouches of adipose tissue found on the outer surface of the bowel wall. EA results in inflammation and is often mistaken for other gastrointestinal disorders, such as diverticulitis or appendicitis. Diagnosis is primarily made through computed tomography scans, with ultrasound and magnetic resonance imaging used less often. Treatment initially involves analgesia with or without anti-inflammatory medication. However, surgery in the form of laparoscopic appendage removal may be required if symptoms persist or worsen. In total, 2 cases of EA are presented, one mimicking appendicitis and the other sigmoid diverticulitis. The purpose of the presentation is to increase awareness of EA as a cause of abdominal pain and to avoid unnecessary surgery.
Identifiants
pubmed: 36998265
doi: 10.1093/jscr/rjad156
pii: rjad156
pmc: PMC10049853
doi:
Types de publication
Case Reports
Langues
eng
Pagination
rjad156Informations de copyright
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023.
Déclaration de conflit d'intérêts
None declared.
Références
Cureus. 2022 Aug 4;14(8):e27686
pubmed: 36072161
Radiographics. 2005 Nov-Dec;25(6):1521-34
pubmed: 16284132
J Radiol. 2008 Feb;89(2):235-43
pubmed: 18354354
Case Rep Emerg Med. 2019 Jul 14;2019:7160247
pubmed: 31380126
Int J Surg Case Rep. 2018;53:327-329
pubmed: 30471623
AJR Am J Roentgenol. 2009 Nov;193(5):1243-51
pubmed: 19843737
J Emerg Med. 2002 Jan;22(1):9-13
pubmed: 11809550
Abdom Radiol (NY). 2019 Feb;44(2):802-803
pubmed: 30255446
Am J Surg. 2010 Apr;199(4):453-8
pubmed: 19520357
J Korean Soc Coloproctol. 2011 Jun;27(3):114-21
pubmed: 21829765
Oman Med J. 2016 May;31(3):235-7
pubmed: 27162597
Case Rep Gastroenterol. 2019 Sep 5;13(3):364-368
pubmed: 31607837
Medicina (B Aires). 2014;74(6):448-50
pubmed: 25555004
Ann Transl Med. 2019 Dec;7(24):814
pubmed: 32042830