Seven Cases of Epiploic Appendagitis: Retrograde Analysis of Clinical Characteristics.
- Author:
Young Chul CHOI
1
;
Ho Jung KIM
;
Kwang Seok KIM
;
Yong Hyeon JIN
;
Uh Joo LEE
;
Hong Min AHN
;
Tae Seung LEE
Author Information
1. Department of Internal Medicine, Sungae Hospital, Seoul, Korea. newhjkim@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Epiploic Appendagitis;
Abdomen, Acute;
Diagnosis, Differential
- MeSH:
Abdomen, Acute;
Abdominal Pain;
Appendicitis;
Diagnosis, Differential;
Diverticulitis;
Humans
- From:Intestinal Research
2009;7(1):56-59
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Epiploic appendagitis is a relatively rare cause of acute abdominal pain. Usually, epiploic appendagitis is a benign and self-limited condition, but it can be clinically misdiagnosed as acute appendicitis or diverticulitis, so an inaccurate diagnosis may lead to unnecessary treatment. We recently managed 7 cases of epiploic appendagitis during 1 year and review these cases with an emphasis on the clinical diagnostic features. The main pathophysiologic mechanism underlying epiploic appendagitis is thought to be triggered by appendageal torsion and caused by a subsequent blood flow disturbance. This medical condition must be kept in mind when a patient with acute abdominal pain has well-localized pain which is characteristically sharp in nature and a mild systemic inflammatory response compared to the severity of the pain.
