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[Epiploic appendagitis: an underestimated self-limiting acute abdominal condition]
A C van Breda Vriesman1, J C de Mol van Otterloo, J B Puylaert
1Afd. Radiologie, Medisch Centrum Haaglanden, locatie Westeinde Ziekenhuis, Postbus 432, 2501 CK Den Haag.
Nederlands Tijdschrift Voor Geneeskunde
|June 26, 2003
Summary
Epiploic appendagitis, a cause of abdominal pain, is increasingly diagnosed with imaging. This condition has a benign course and conservative treatment leads to uncomplicated recovery, avoiding unnecessary surgery.
Area of Science:
- Gastroenterology
- Abdominal Imaging
- Surgical Pathology
Background:
- Epiploic appendagitis is an uncommon cause of acute abdominal pain.
- Diagnosis is often delayed due to non-specific symptoms and misdiagnosis.
- Advancements in diagnostic imaging have led to increased detection rates.
Purpose of the Study:
- To characterize the clinical presentation of epiploic appendagitis.
- To assess the natural history and outcomes of this condition.
- To highlight the role of imaging in diagnosis and management.
Main Methods:
- Retrospective review of medical records.
- Inclusion of patients diagnosed with epiploic appendagitis via ultrasonography and computed tomography (CT).
- Study period: June 1988 - October 2001.
Main Results:
- 49 patients (38 male, 11 female; median age 41) with focal abdominal pain.
- Pain predominantly in the left lower quadrant (n=34).
- Complete recovery with conservative treatment within 9 days for all patients.
Conclusions:
- Epiploic appendagitis is frequently diagnosed due to increased imaging use.
- Non-specific symptoms often lead to misdiagnosis.
- Accurate diagnosis via ultrasonography and CT avoids unnecessary interventions and confirms a benign prognosis.