Computed tomography findings of primary epiploic appendagitis as an easily misdiagnosed entity: Case series and review of literature

Ulus Travma Acil Cerrahi Derg. 2017 Nov;23(6):489-494. doi: 10.5505/tjtes.2017.99894.

Abstract

Background: Primer epiploic appendagitis (PEA) is an uncommon condition.

Methods: We retrospectively reviewed the clinical records and computed tomography (CT) findings of 45 patients with PEA.

Results: On the basis of physical examination and pain localization, presumptive clinical diagnosis was acute appendicitis (n=13), acute cholecystitis (n=2), acute diverticulitis (n=19), renal colic (n=7) and ovarian pathology (n=4).

Conclusion: Although it has no characteristic clinical and laboratory features, CT is the best modality for accurate diagnosis of PEA.

MeSH terms

  • Appendicitis
  • Colonic Diseases* / diagnosis
  • Colonic Diseases* / diagnostic imaging
  • Colonic Diseases* / physiopathology
  • Diagnosis, Differential
  • Diverticulitis
  • Humans
  • Rectal Diseases* / diagnosis
  • Rectal Diseases* / diagnostic imaging
  • Rectal Diseases* / physiopathology
  • Retrospective Studies
  • Tomography, X-Ray Computed*