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Case Rep Emerg Med. 2019 Jul 14;2019:7160247. doi: 10.1155/2019/7160247. eCollection 2019.

Acute Epiploic Appendagitis: A Nonsurgical Abdominal Pain.

Case reports in emergency medicine

Marco Di Serafino, Francesca Iacobellis, Piero Trovato, Ciro Stavolo, Antonio Brillantino, Antonio Pinto, Luigia Romano

Affiliations

  1. Department of General and Emergency Radiology, "Antonio Cardarelli" Hospital, Naples, Italy.
  2. Department of Advanced Biomedical Sciences, "Federico II" University Hospital, Naples, Italy.
  3. Department of Emergency Surgery, "Antonio Cardarelli" Hospital, Naples, Italy.
  4. Department of Radiology, Traumatology Centre "CTO-Dei Colli" Hospital, Naples, Italy.

PMID: 31380126 PMCID: PMC6662477 DOI: 10.1155/2019/7160247

Abstract

Epiploic appendagitis is a relatively rare disease characterized by an inflammation of fat-filled serosal outpouchings of the large intestine, called epiploic appendices. Diagnosis of epiploic appendagitis is made challenging by the lack of pathognomonic clinical features and should therefore be considered as a potential diagnosis by exclusion first of all with appendicitis or diverticulitis which are the most important causes of lower abdominal pain. Currently, with the increasing use of ultrasound and computed tomography in the evaluation of acute abdominal pain, epiploic appendagitis can be diagnosed by characteristic diagnostic imaging features. We present a case of epiploic appendagitis with objective of increasing knowledge of this disease and its diagnostic imaging findings, in order to reduce harmful and unnecessary surgical interventions.

Conflict of interest statement

The authors declare that no conflicts of interest exist.

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