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Primary epiploic appendagitis: a report of two cases
G A Birjawi1, M C Haddad, H M Zantout
1Department of Diagnostic Radiology, American University of Beirut-Medical Center, P.O. Box 113-6044, Beirut, Lebanon.
Clinical Imaging
|March 29, 2001
Summary
Primary epiploic appendagitis (PEA) is a rare, self-limiting condition causing abdominal pain. Characteristic CT scan findings help diagnose PEA, preventing unnecessary procedures like surgery.
Area of Science:
- Gastroenterology
- Abdominal Imaging
- Surgical Pathology
Background:
- Primary epiploic appendagitis (PEA) is an uncommon cause of acute abdominal pain.
- It involves inflammation of the colonic epiploic appendages, a benign condition.
- PEA is frequently misdiagnosed as more common surgical emergencies like appendicitis or diverticulitis.
Observation:
- Patients typically present with localized abdominal pain.
- Clinical presentation can mimic other acute abdominal conditions, leading to diagnostic challenges.
- Characteristic findings on computed tomography (CT) scans are key to identification.
Findings:
- CT scans reveal a focal, ovoid, fat-density lesion.
- A hyperattenuated rim and surrounding inflammation are typical CT findings.
- These imaging features allow for confident diagnosis of PEA.
Implications:
- Accurate CT diagnosis can avoid invasive investigations such as barium enemas, colonoscopy, or biopsy.
- It prevents unnecessary surgical interventions, reducing healthcare costs and patient morbidity.
- Understanding PEA's imaging characteristics is crucial for appropriate clinical management.
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