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[Epiploic appendicitis].
P H ter Meulen1, W J Prakken, H W Ooms
1Afd. Chirurgie, Diaconessenhuis, Eindhoven.
Nederlands Tijdschrift Voor Geneeskunde
|March 23, 1999
Summary
Epiploic appendagitis, a cause of abdominal pain, can be diagnosed using ultrasound and CT scans. This condition resolves with conservative treatment, avoiding unnecessary surgery or antibiotics.
Area of Science:
- Gastroenterology
- Radiology
- Surgical Pathology
Background:
- Epiploic appendagitis is a rare, benign cause of acute abdominal pain.
- It results from torsion or venous occlusion of an epiploic appendage, leading to inflammation.
- Diagnosis can be challenging due to non-specific symptoms.
Observation:
- A 50-year-old woman presented with localized lower abdominal pain.
- Physical examination revealed tenderness, with slightly elevated inflammatory markers (ESR, CRP).
- Imaging revealed a solid, hyperechoic mass consistent with epiploic appendagitis.
Findings:
- Ultrasound (US) identified a 26 mm ovoid mass.
- CT scan confirmed the diagnosis of epiploic appendagitis.
- Conservative management led to symptom resolution within four weeks.
Implications:
- US and CT scans are crucial for accurate diagnosis of epiploic appendagitis.
- Timely diagnosis can prevent unnecessary antibiotic use or surgical intervention.
- Understanding imaging characteristics aids in differentiating from other causes of abdominal pain.
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