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[Computed tomography of acute primary epiploic appendicitis]
H Lambre1, R Manzur, G Oxenghendler
1Servicio de Tomografía Computada, Instituto Argentino de Diagnóstico y Tratamiento M. T. de Alvear.
Acta Gastroenterologica Latinoamericana
|February 2, 1999
Summary
Primary epiploic appendicitis is a rare intraabdominal inflammation. Diagnosis is confirmed by CT scan, and it resolves with anti-inflammatory therapy.
Area of Science:
- Gastroenterology
- Abdominal Imaging
- Surgical Pathology
Background:
- Primary epiploic appendicitis is an uncommon cause of acute abdominal pain.
- It mimics common conditions like diverticulitis and appendicitis, posing diagnostic challenges.
Observation:
- Patients typically present with localized abdominal pain.
- Clinical presentation can overlap with other acute abdominopelvic conditions.
Findings:
- Computed Tomography (CT) findings are pathognomonic.
- Characteristic CT features include a pericolonic oval-shaped area of increased density, peritoneal thickening, and fat stranding.
Implications:
- Early diagnosis via CT imaging is crucial.
- The condition is self-limiting and effectively managed with non-steroid anti-inflammatory drugs.
- Understanding these imaging findings aids in appropriate non-operative management.
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