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Related Experiment Videos

[Primary epiploic appendicitis]

N Levret1, K Mokred, E Quevedo

  • 1Service de Radiologie, Centre Hospitalier Victor-Dupouy, Argenteuil.

Journal De Radiologie
|October 3, 1998
PubMed
Summary
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Primary epiploic appendicitis, often due to torsion or inflammation, is rarely diagnosed before surgery. Ultrasound and CT imaging are key to suggesting this uncommon condition, as shown in our case series.

Area of Science:

  • Gastroenterology
  • Radiology
  • Surgical Pathology

Background:

  • Primary epiploic appendicitis involves torsion or inflammation of the appendices epiploicae.
  • These conditions are infrequently diagnosed preoperatively due to non-specific clinical and biological features.

Purpose of the Study:

  • To report on six cases of primary epiploic appendicitis.
  • To highlight the diagnostic utility of imaging in these uncommon pathologies.

Main Methods:

  • Retrospective review of six cases diagnosed with primary epiploic appendicitis.
  • Analysis of clinical presentation, laboratory findings, and imaging characteristics (Ultrasound and CT).

Main Results:

  • Primary epiploic appendicitis was exceptionally diagnosed before surgery in the reported cases.

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  • Ultrasound (US) and Computed Tomography (CT) findings were suggestive of the diagnosis.
  • The study details six specific case presentations.

    • Conclusions:

    • Primary epiploic appendicitis remains a diagnostic challenge preoperatively.
    • Imaging modalities like US and CT play a crucial role in suggesting the diagnosis.
    • Further case studies can improve understanding and pre-surgical identification.