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Acute epiploic appendagitis. Report of three cases
M A Sánchez-Pérez1, E Luque-de León, M Muñoz-Juárez
1Department of General Surgery, American British Cowdray Medical Center, Mexico City, Mexico. wfrguitarma@hotmail.com
Abstract:
Primary epiploic appendagitis is a very rare condition that results from acute inflammation of an epiploic appendix. Clinical presentation is non-specific, and many times can mimic acute abdomen. When the diagnosis of epiploic appendagitis is made, conservative treatment must be initiated to avoid unnecessary surgery. We report three cases of acute epiploic appendagitis which were diagnosed by imaging and were managed conservatively with good clinical outcome.
Insights
Primary epiploic appendagitis, a rare cause of acute abdomen, involves inflamed epiploic appendices. Conservative management is effective, avoiding unnecessary surgery for this condition.
Area of Science:
- Gastroenterology
- Abdominal Imaging
- Surgical Pathology
Background:
- Primary epiploic appendagitis is an uncommon condition characterized by acute inflammation of an epiploic appendage.
- Its clinical presentation is often non-specific, frequently mimicking other causes of acute abdomen.
Observation:
- The study presents three cases of acute epiploic appendagitis.
- Diagnosis was established through imaging modalities.
- All cases were managed conservatively.
Findings:
- Conservative treatment led to a good clinical outcome in all three reported cases.
- Imaging is crucial for accurate diagnosis of epiploic appendagitis.
- Non-surgical management is a viable option for this condition.
Implications:
- Accurate diagnosis via imaging can prevent unnecessary surgical interventions for epiploic appendagitis.
- Conservative management strategies are effective and should be considered.
- Understanding the imaging features of epiploic appendagitis is important for clinicians.
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