Epiploic Appendagitis: Is There Need for Surgery to Confirm Diagnosis in Spite of Clinical and Radiological Findings?

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dc.contributor.authorHasbahceci, Mustafa
dc.contributor.authorErol, Cengiz
dc.contributor.authorSeker, Mehmet
dc.date.accessioned2020-03-26T18:25:30Z
dc.date.available2020-03-26T18:25:30Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractThe present retrospective study was conducted to review the authors' experience and describe clinical and radiologic features of epiploic appendagitis (EA), which is an uncommon, self-limiting clinical entity mimicking acute appendicitis and diverticulitis. Awareness of the features of EA would allow a correct diagnosis and avoid unnecessary surgical interventions. Patients diagnosed as EA in one regional medical center between June 2006 and June 2010 were included. Clinical, laboratory, and imaging features of EA were studied, with particular attention to its unique radiologic appearances. Twenty patients (13 men and 7 women; average age 43.2 years) diagnosed with EA were included in the study. Localized abdominal pain without nausea, vomiting, and fever were the major presenting symptoms for all patients. Laboratory blood tests were normal, except in one patient with leukocytosis and two patients with increased serum C-reactive protein (CRP) levels. A noncompressible hyperechoic ovoid mass with hypoechoic border and without central blood flow on Doppler ultrasound (US) was detected in five of six patients. In all patients, the computed tomography (CT) scans revealed an ovoid fatty mass with hyperattenuating rim and disproportionate adjacent fat stranding. Central dot sign, concomitant old infarct, and lobulation were present in 75%, 20%, and 10% of the patients, respectively. All of the patients were treated conservatively. No recurrences occurred during the follow-up period (average: 24.8 months) in 18 (90%) of the patients. In patients with localized abdominal pain without other symptoms, diagnosis of EA should be considered. Recognizing the US and CT features of EA may allow an accurate diagnosis and avoid unnecessary surgery.en_US
dc.identifier.doi10.1007/s00268-011-1382-2en_US
dc.identifier.endpage446en_US
dc.identifier.issn0364-2313en_US
dc.identifier.issue2en_US
dc.identifier.pmid22167263en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage441en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s00268-011-1382-2
dc.identifier.urihttps://hdl.handle.net/20.500.12395/28016
dc.identifier.volume36en_US
dc.identifier.wosWOS:000299054900031en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofWORLD JOURNAL OF SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleEpiploic Appendagitis: Is There Need for Surgery to Confirm Diagnosis in Spite of Clinical and Radiological Findings?en_US
dc.typeArticleen_US

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