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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 |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> | Epidemiology: | ||
*[[Obesity]] | |||
*Male. | |||
*Age: 30s and 40s. | |||
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== | |||
Features: | |||
*[[Fat necrosis]]. | |||
*+/-Calcifications. | |||
*+/-Fibrous pseudocapsule. | |||
==Sign out== | |||
<pre> | |||
Sigmoid Epiploica, Excision: | |||
- Benign infarcted adipose tissue with calcifications surrounded by a fibrous pseudocapsule. | |||
</pre> | |||
==See also== | ==See also== | ||