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Does primer appendagitis epiploica require surgical intervention?
Barış Mantoğlu1, Fatih Altıntoprak2, Emrah Akın1
1Department of General Surgery, Sakarya University Training and Research Hospital, Sakarya-Turkey.
Summary
Primer appendagitis epiploica (PAE) is an acute condition. Accurate diagnosis via imaging allows non-surgical treatment to be a viable option for PAE management.
Area of Science:
- Gastroenterology
- Radiology
- Surgical Pathology
Background:
- Primer appendagitis epiploica (PAE) is an acute condition with no established first-line treatment.
- Both surgical and non-surgical interventions exist for PAE.
Purpose of the Study:
- To evaluate recurrences, medical interventions, and hospitalization rates in PAE patients.
- To assess the efficacy of non-surgical treatment options for PAE.
Main Methods:
- Retrospective analysis of 39 PAE patients diagnosed between 2013-2018.
- Diagnostic tools included Ultrasound (USG) and Abdominal Computed Tomography (CT).
- One-month and long-term follow-ups were conducted.
Main Results:
- Three out of 39 patients experienced recurrence at six months.
- These recurrent cases successfully responded to medical treatment.
- The study included 29 males and 10 females.
Conclusions:
- Advancements in imaging technology facilitate accurate PAE diagnosis.
- Non-surgical treatment is a feasible and effective option for managing PAE.
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