Primary Epiploic Appendagitis Treated Conservatively: Case Report and Review of the Litareture

Yıl 2018, Cilt: 1 Sayı: 1, 19 - 21, 01.07.2018

Murat Güner Nurullah Damburacı

Öz

Primary epiploic appendagitis is a rare entity caused by the inflammation of the appendix epiploica that clinically mimics other acute abdomen conditions that require surgery such as acute diverticulitis or appendicitis. Awareness of such a clinical condition with its characteristic imaging findings is important to avoid costly hospitalization, unnecessary antibiotic courses, and the morbidity and mortality associated with surgical procedures. . Here, we report a case of a 26-year-old man who presented with an unusual left lower abdominal pain.

Anahtar Kelimeler

Primary Epiploic Appendagitis, computed tomography, Conservatively

Konservatif Tedavi Edilen Primer Epiploik Apandisit Olgusu :Olgu Sunumu ve Literatür Değerlendirmesi

Öz

Primer epiploik apandisit, apendiks epiploika inflamasyonunun neden olduğu, , akut divertikülit veya apandisit gibi cerrahi gerektiren diğer akut karın hastalıklarını klinik olarak taklit eden nadir bir durumdur. Klinik değerlendirme ve görüntüleme yöntemlerinin yardımı ile primer epiploik apandisit tanısı alan hastalarda gereksiz antibiyotik kullanımı, gereksiz cerrahi girişimler ile oluşabilecek morbidite ve mortaliteden kaçınmak mümkündür.Bu makalede karın sol alt kadran ağrısı ile kliniğimize başvuran 26 yaşında erkek olgu sunulmaktadır.

Anahtar Kelimeler

Primer epiploik apandisit, bilgisayarlı tomografi, konservatif tedavi

Kaynakça

• 1.Horton KM, Corl FM, Fishman EK. CT evaluation of the colon: Inflammatory disease. Radiographics 2000;20:339- 418.
• 2. Rao PM, Wittenberg J, Lawrason JN. Primary epiploic appendagitis: evolutionary changes in CT appearance. Radiology 1997; 204: 713-7.
• 3.Barbier C, Denny P, Pradoura JM, et al. Radiologic aspects of infarction of the appendix epiploica. J Radiol 1998;79:1479-1485.
• 4. A.K. Singh, D.A. Gervais, P.F. Hahn, P. Sagar, P.R. Mueller, R.A. Novelline, Acuteepiploic appendagitis and its mimics, Radiographics 25 (6) (2005)1521–1534.
• 5.Hwang JA, Kim SM, Song HJ, Lee YM, Moon KM, Moon CG, et al. Differential diagnosis of left sided abdominal pain: Primary epiploic appendagitis vs colonic diverticulitis. World J Gastroenterol 2013; 19(40): 6842-8.
• 6.Ghahremani GG, White EM, Hoff FL, et al. Appendices epiploicae of the colon: radiologic and pathologic features. RadioGraphics 1992; 12: 59-77.
• 7. Carmichael DH, Organ CH. Epiploic disorders: conditions of the epiploic appendages. Arch Surg 1985; 120: 1167-2.
• 8. J. Saad, H.A. Mustafa, A.M. Elsani, F. Alharbi, S. Alghamdi, Primary epiploicappendagitis: reconciling CT and clinical challenges, Indian J. Gastroenterol. 33(5) (2014) 420–426.
• 9. de Brito P, Gomez MA, Besson M, Scotto B, Huten N, Alison D. Frequency and epidemiology of primary epiploic appendagitis on CT in adults with abdominal pain. J Radiol. 2008 ;89:235-243.
• 10. Almeida AT, Melao L, Viamonte B, et al. Epiploic Appendagitis: An entity frequently unknown to clinicians- diagnostic imaging, pitfalls, and look- alikes. Am J Roentgenol 2009;193:1243-1251.
• 11. McMahon AJ, Hansell DT. Primary appendicitis epiploicae mimicking acute appendicitis. Postgrad Med J 1988;64:903- 905. DOI:10.1136/pgmj.64.757.903
• 12. Sand M, Gelos M, Bechara F, et al. Epiploic appendagitis: clinical characteristics of an uncommon surgical diagnosis. BMC Surg 2007;1:7-11.
• 13. Rioux M, Langis P. Primary epiploic appendagitis: clinical, US, and CT finding in 14 cases. Radiology 1994;19:523- 526.
• 14. Molla E, Ripolles T, Martinez MJ, et al. Primary epiploic appendagitis: US and CT findings. Eur Radiol 1998;8:435- 438.
• 15. Nagaich N, Sharma R, Singh M, Nagaich Y, Sharma I, Malik D et al. Primary Epiploic Appendagitis: A Diagnostic Challenge, Clinical Spectrum and Experience from a Tertiary Centre. International Journal of Current Advanced Research 2015; 4(11): 482-4.