Touch me Not : Case Report of Epiploic Appedagitis

By:

Cruz, Christopher Ivan A., M.D

Language: ENGLISH Publication details: QUEZON CITY FEU-NRMF AUGUST 2016Description: 18 PAGESLOC classification:

RESRAD20160007

Summary: ABSTRACT: Epiploic appendagitis (EA) is an uncommon, benign, non-surgical, self limiting inflammatory process of the epiploic appendices. It is caused by torsion or spontaneous thrombosis of the epiploic appendage draining vein and is distributed along the large bowel with variable frequency. Diagnosis of the disease entity relies on cross sectional CT, but different modalities can also be used such as ultrasound and MRI. When it occurs in the right side of the abdomen, it can mimic appendicitis or right sided diverticulitis; whereas when it occurs in the left side of the abdomen, it is often mistaken for sigmoid diverticulitis. This is a case of a 34 year old male, who complained of intermittent left lower quadrant pain for 6 days. There were no other associated signs and symptoms noted. Imaging modality such as CT was done which revealed a diagnosis of epiploic appendagitis. The patient didn't undergo any surgery, instead, he was given antibiotics and was discharged improved. No recurrence of left lower abdominal pain is noted up to the present. Epiploic appendagitis is a diagnosis that is frequently known to clinicians. Accurate diagnosis by an experienced radiologist through a CT of the abdomen is essential to avoid unnecessary admission and surgery.

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Research	Far Eastern University - Nicanor Reyes Medical Foundation Research	RAD20160007 (Browse shelf(Opens below))	Available	ND		R000514

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ABSTRACT: Epiploic appendagitis (EA) is an uncommon, benign, non-surgical, self limiting inflammatory process of the epiploic appendices. It is caused by torsion or spontaneous thrombosis of the epiploic appendage draining vein and is distributed along the large bowel with variable frequency. Diagnosis of the disease entity relies on cross sectional CT, but different modalities can also be used such as ultrasound and MRI. When it occurs in the right side of the abdomen, it can mimic appendicitis or right sided diverticulitis; whereas when it occurs in the left side of the abdomen, it is often mistaken for sigmoid diverticulitis. This is a case of a 34 year old male, who complained of intermittent left lower quadrant pain for 6 days. There were no other associated signs and symptoms noted. Imaging modality such as CT was done which revealed a diagnosis of epiploic appendagitis. The patient didn't undergo any surgery, instead, he was given antibiotics and was discharged improved. No recurrence of left lower abdominal pain is noted up to the present. Epiploic appendagitis is a diagnosis that is frequently known to clinicians. Accurate diagnosis by an experienced radiologist through a CT of the abdomen is essential to avoid unnecessary admission and surgery.

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