Epiploic appendagitis

Right Segmentary Omental Infarction Including Omental Torsion and Epiploic Appendagitis 63 Peritonitis 66... 

Epiploic appendagitis and omental infarction are benign self-limiting conditions that are more frequent than generally assumed. Both disorders fre-... 

Epiploic appendices are pedunculated adipose structures protruding from the serosal surface of the colon. An epiploic appendix might incidentally undergo infarction because of torsion or spontaneous venous thrombosis. The condition has been called epiploic appendagitis (van Breda Vriesman and Puylaert 2002). It is considered, as with omental infarction, a self-limited process, and the appropriate management is conservative. The inflamed mass is often delineated hy a hypoechoic ring on US. 

Epiploic appendagitis and omental infarction are causes of acute pelvic pain that are often misdiagnosed clinically as acute appendicitis or diverticulitis. Based on the imaging findings, especially CT allows a definite diagnosis in most cases and patients can be managed conservatively. 

Gelrud A, Cardenas A, Chopra A (2005) Epiploic appendagitis. www.uptodate.com. Cited 21 April 2006... 

Rao PM, Novelline RA (1999) Case 6 primary epiploic appendagitis. Radiology 210 145-148... 

Furthermore, among the more common acute abdominal conditions enumerated in de Dombal s series, Crohn s disease, epiploic appendagitis, infectious ileitis, mesenteric adenitis, omental infarc-... 

In colour Doppler, the altered epiploic appendix reveals no vascularisation, whereas the surrounding fat may be hypervascularized (Grattan-Smith et al. 2002). Usually, CT is also performed to verify this relatively rare diagnosis. Appendagitis is treated conservatively. Surgery can be avoided in this self-limiting disease. 

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