Difference between revisions of "Epiploic appendagitis"
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'''Epiploic appendagitis''' is rare condition of the large bowel epiploica that can cause abdominal pain.<ref>{{cite journal |authors=Trovato P, Simonetti I, Verde F, Lomoro P, Vinci G, Tarotto L, Corvino F, Corvino A |title=Acute epiploic appendagitis: ultrasound and computed tomography findings of a rare case of acute abdominal pain and the role of other imaging techniques |journal=Pol J Radiol |volume=85 |issue= |pages=e178–e182 |date=2020 |pmid=32419882 |pmc=7218446 |doi=10.5114/pjr.2020.94335 |url=}}</ref> | '''Epiploic appendagitis''' is rare condition of the large bowel epiploica that can cause abdominal pain.<ref>{{cite journal |authors=Trovato P, Simonetti I, Verde F, Lomoro P, Vinci G, Tarotto L, Corvino F, Corvino A |title=Acute epiploic appendagitis: ultrasound and computed tomography findings of a rare case of acute abdominal pain and the role of other imaging techniques |journal=Pol J Radiol |volume=85 |issue= |pages=e178–e182 |date=2020 |pmid=32419882 |pmc=7218446 |doi=10.5114/pjr.2020.94335 |url=}}</ref> | ||
It is also known as '''epiploic infarction''';<ref name=pmid19635325>{{cite journal |authors=Fraser JD, Aguayo P, Leys CM, St Peter SD, Ostlie DJ |title=Infarction of an epiploic appendage in a pediatric patient |journal=J. Pediatr. Surg. |volume=44 |issue=8 |pages=1659–61 |date=August 2009 |pmid=19635325 |doi=10.1016/j.jpedsurg.2009.04.030 |url=}}</ref> this may better reflect the underlying pathologic process. | |||
==General== | ==General== | ||
| Line 7: | Line 9: | ||
*Age: 30s and 40s. | *Age: 30s and 40s. | ||
Clinical DDx:<ref>{{cite journal |authors=Giannis D, Matenoglou E, Sidiropoulou MS, Papalampros A, Schmitz R, Felekouras E, Moris D |title=Epiploic appendagitis: pathogenesis, clinical findings and imaging clues of a misdiagnosed mimicker |journal=Ann Transl Med |volume=7 |issue=24 |pages=814 |date=December 2019 |pmid=32042830 |pmc=6989878 |doi=10.21037/atm.2019.12.74 |url=}}</ref> | Clinical DDx:<ref name=pmid32042830>{{cite journal |authors=Giannis D, Matenoglou E, Sidiropoulou MS, Papalampros A, Schmitz R, Felekouras E, Moris D |title=Epiploic appendagitis: pathogenesis, clinical findings and imaging clues of a misdiagnosed mimicker |journal=Ann Transl Med |volume=7 |issue=24 |pages=814 |date=December 2019 |pmid=32042830 |pmc=6989878 |doi=10.21037/atm.2019.12.74 |url=}}</ref> | ||
*[[Diverticulitis]]. | *[[Diverticulitis]]. | ||
*[[Acute appendicitis]] | *[[Acute appendicitis]] | ||
*[[Acute cholecystitis]]. | *[[Acute cholecystitis]]. | ||
==Gross== | |||
Features: | |||
*Typically sigmoid colon or transverse colon. | |||
==Microscopic== | ==Microscopic== | ||
| Line 17: | Line 23: | ||
*+/-Calcifications. | *+/-Calcifications. | ||
*+/-Fibrous pseudocapsule. | *+/-Fibrous pseudocapsule. | ||
==Sign out== | |||
<pre> | |||
Sigmoid Epiploica, Excision: | |||
- Benign infarcted adipose tissue with calcifications surrounded by a fibrous pseudocapsule. | |||
</pre> | |||
==See also== | ==See also== | ||
Latest revision as of 14:16, 9 July 2020
Epiploic appendagitis is rare condition of the large bowel epiploica that can cause abdominal pain.[1]
It is also known as epiploic infarction;[2] this may better reflect the underlying pathologic process.
General
Epidemiology:
- Obesity
- Male.
- Age: 30s and 40s.
Clinical DDx:[3]
Gross
Features:
- Typically sigmoid colon or transverse colon.
Microscopic
Features:
- Fat necrosis.
- +/-Calcifications.
- +/-Fibrous pseudocapsule.
Sign out
Sigmoid Epiploica, Excision:
- Benign infarcted adipose tissue with calcifications surrounded by a fibrous pseudocapsule.
See also
References
- ↑ Trovato P, Simonetti I, Verde F, Lomoro P, Vinci G, Tarotto L, Corvino F, Corvino A (2020). "Acute epiploic appendagitis: ultrasound and computed tomography findings of a rare case of acute abdominal pain and the role of other imaging techniques". Pol J Radiol 85: e178–e182. doi:10.5114/pjr.2020.94335. PMC 7218446. PMID 32419882. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218446/.
- ↑ Fraser JD, Aguayo P, Leys CM, St Peter SD, Ostlie DJ (August 2009). "Infarction of an epiploic appendage in a pediatric patient". J. Pediatr. Surg. 44 (8): 1659–61. doi:10.1016/j.jpedsurg.2009.04.030. PMID 19635325.
- ↑ Giannis D, Matenoglou E, Sidiropoulou MS, Papalampros A, Schmitz R, Felekouras E, Moris D (December 2019). "Epiploic appendagitis: pathogenesis, clinical findings and imaging clues of a misdiagnosed mimicker". Ann Transl Med 7 (24): 814. doi:10.21037/atm.2019.12.74. PMC 6989878. PMID 32042830. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6989878/.