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==

Revision as of 14:14, 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. https://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. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6989878/.