Lokalize Abdominal Ağrının Nadir Bir Nedeni Olarak Primer Epiploik Apendijit: Görüntüleme Bulguları

Öz

Epiploik apendiksin hastalıkları nadir olup genellikle orta yaş grubunu etkilemektedir. Pirimer epiploik apendijit, yüzlerce epiploik apendiksten birinin torsiyonu, spontan venöz trombozu veya inflamasyonu sonucu oluşan inflamatuar ve iskemik bir durumdur. Bu yazıda, ultrasonografi ve bilgisayarlı tomografi ile tanısı konulan primer epiploik apendijitli bir hastayı, bu hastalığın önemli klinik ve radyolojik bulguları eşiliğinde sunuyoruz.

Anahtar Kelimeler

• Apendiks epiploika, epiploik apendijit, bilgisayarlı tomografi, ultrasonografi

Primary Epiploic Appendagitis As a Rare Cause of Localized Abdominal Pain: Imaging Findings

Öz

Disorders of the epiploic appendages are rare, usually affecting the middle age group. Primary epiploic appendagitis is an inflammatory and ischemic condition that results from torsion, spontaneous venous thrombosis, or inflammation of one of the hundreds of appendices epiploicae. In this article, we present a patient with primary epiploic appendagitis diagnosed by ultrasonography and computed tomography scan, and discuss the important clinical and radiological manifestations of this disease

Anahtar Kelimeler

• Appendix epiploica, epiploic appendagitis, computed tomography, ultrasonography

Kaynakça

1. Rioux M, Langis P. Primary epiploic appendagitis: clinical, US and CT finding in 14 cases. Radiology 1994; 191: 523-6.
2. Hiller N, Berelowitz D, Hadas-Halpern I. Primary epiploic appendagitis: clinical and radiological manifestations. Isr Med Assoc J 2000; 2: 896-8.
3. Vinson DR. Epiploic appendagitis: a new diagnosis for the emergency physician: two case reports and a review. J Emerg Med 1999; 17: 827-32. [CrossRef]
4. Van Breda Vriesman AC, de Mol van Otterloo AJ, Puylaert JB. Epiplo- ic appendagitis and omental infarction. Eur J Surg 2001; 167: 723-7. [CrossRef]
5. Akgün V, Sağlam M, Örs F, Battal B, Öztürk E, Şimşek A. Acute Epiplo- ic Appendagitis: tissue harmonic ultrasonography and computed to- mography imaging features in two cases. Turkiye Klinikleri J Med Sci 2010; 30: 1716-9. [CrossRef]
6. Ahmad S, Khan ZA, Sheikh MY, Khan S, Rehman AU, Uddin B. Primary epiploic appendagitis: 3 case reports. J Pak Med Assoc 2011; 61: 83-5. 65