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La apendicitis epíploide es una causa ignorada de dolor abdominal agudo
Yasser El-Sawaf1,2, Salman Alzayani3, Nermin K Saeed4,5
1Department of Tropical Medicine, Faculty of Medicine, Tanta University, Tanta 31527, Alghrabia, Egypt.
World journal of gastroenterology
|September 3, 2025
Resumen
La apendicitis epiploica, una causa autolimitada de dolor abdominal agudo, se diagnostica mejor con una tomografía computarizada. El reconocimiento temprano por parte de los médicos evita tratamientos innecesarios para esta afección.
Área de la Ciencia:
- Gastroenterología
- Imágenes abdominales
- Patología quirúrgica
Sus antecedentes:
- La apendicitis epiploica es una causa poco reconocida de dolor abdominal agudo.
- Un diagnóstico erróneo puede llevar a intervenciones innecesarias como hospitalización o cirugía.
- Las imágenes ayudan al reconocimiento, pero la conciencia clínica es clave.
Objetivo del estudio:
- Revisar exhaustivamente la epidemiología, la anatomía, la patogénesis, la presentación, el diagnóstico y el tratamiento de la apendicitis epíploide.
- Para resaltar las características distintivas de otras afecciones abdominales agudas.
- Hacer hincapié en las estrategias óptimas de diagnóstico y gestión.
Principales métodos:
- Revisión de la literatura centrada en las características clínicas y los hallazgos de las imágenes.
- Análisis de diagnósticos diferenciales y gestión basada en la evidencia.
- El énfasis en las características distintivas para un diagnóstico preciso.
Principales resultados:
- La apendicitis epiploica se presenta como dolor abdominal localizado sin síntomas sistémicos.
- La tomografía computarizada (TC) es el estándar de oro para el diagnóstico, mostrando signos característicos de "anillo y punto".
- El tratamiento conservador con AINE y la observación es típico; la cirugía está reservada para las complicaciones.
Conclusiones:
- Reconocer las características clínicas y de imagen de la apendicitis epiploica es crucial para evitar intervenciones innecesarias.
- El aumento de la conciencia clínica y el uso juicioso de imágenes facilitan el diagnóstico oportuno.
- El tratamiento adecuado asegura resultados óptimos para el paciente con esta condición autolimitante.
Palabras clave:
Necrosis de la grasa abdominalDolor abdominal agudoInflamación de los apéndicesDivericulita de las piernasApendicitis epíploideApendicitis epíploideMás Videos Relacionados
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