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>
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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>
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It is also known as '''epiploic infarction''';<ref name=pmid19635325>{{cite journal |vauthors=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==
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>
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Epidemiology:
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*[[Obesity]]
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*Male.
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*Age: 30s and 40s.
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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]].
  
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==Gross==
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Features:
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*Typically sigmoid colon or transverse colon.
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==Microscopic==
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Features:
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*[[Fat necrosis]].
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*+/-Calcifications.
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*+/-Fibrous pseudocapsule.
  
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==Sign out==
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<pre>
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Sigmoid Epiploica, Excision:
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    - Benign infarcted adipose tissue with calcifications surrounded by a fibrous pseudocapsule.
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</pre>
  
 
==See also==
 
==See also==

Revision as of 10:14, 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:

Clinical DDx:[3]

Gross

Features:

  • Typically sigmoid colon or transverse colon.

Microscopic

Features:

Sign out

Sigmoid Epiploica, Excision:
     - Benign infarcted adipose tissue with calcifications surrounded by a fibrous pseudocapsule.

See also

References

  1. 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. //www.ncbi.nlm.nih.gov/pmc/articles/PMC7218446/.
  2. "Infarction of an epiploic appendage in a pediatric patient". J. Pediatr. Surg. 44 (8): 1659–61. August 2009. doi:10.1016/j.jpedsurg.2009.04.030. PMID 19635325.
  3. 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. //www.ncbi.nlm.nih.gov/pmc/articles/PMC6989878/.