Epiploic appendagitis
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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.
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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/.