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[Epiploic appendagitis: clinical and radiological aspects]
Gustavo Pignaton de Freitas1, Adriana de Almeida Borges, Renato Mendonça
1Serviços de Clínica Médica, Hospital Barra D'OR, Rio de Janeiro, RJ. guspignaton@gmail.com
Arquivos De Gastroenterologia
|July 16, 2008
Summary
Epiploic appendagitis, an uncommon cause of abdominal pain, was diagnosed in 44 patients. Computed tomography identified characteristic lesions, and conservative treatment led to uneventful recovery for all patients.
Area of Science:
- Gastroenterology
- Abdominal Imaging
- Inflammatory Diseases
Background:
- Epiploic appendagitis is a rare, focal, and benign condition.
- It involves inflammation of the epiploic appendages, small fatty pouches on the colon.
Purpose of the Study:
- To evaluate laboratory and imaging findings in patients with suspected epiploic appendagitis.
- To describe the diagnostic features and treatment outcomes.
Main Methods:
- Retrospective analysis of 44 patients diagnosed with epiploic appendagitis.
- Review of laboratory results and computed tomography (CT) scans.
- Assessment of treatment and recovery.
Main Results:
- The majority of patients (82%) were male, with a median age of 44.7 years.
- Common laboratory findings included hematuria and leukocytosis (5% each).
- CT scans revealed paracolic oval lesions, predominantly on the descending colon (52% of cases).
Conclusions:
- Epiploic appendagitis can be diagnosed using CT imaging.
- Conservative management with analgesics and anti-inflammatories is effective.
- Patients typically experience an uneventful recovery.
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