Apendicitis epiploica primaria: diagnóstico clínico y radiológico

Background: Torsion of appendices epiplocae leads to an ischemic infarct of surrounding adipose tissue, causing a syndrome, called "primary epiploic appendagitis" characterized by acute abdominal pain that can simulate a surgical clinical picture. Aim: To describe the clinical picture, ult...

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Autores principales:	Horvath V,Eleonora, Majlis D,Sergio, Seguel B,Solange, Whittle P,Carolina, MacKinnon D,John, Niedmann E,Juan Pablo, Baldassare P,Gina, González M,Paulina, Soffia C,Pablo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2000
Materias:	Appendagitis Appendix Appendiceal neoplasm Colon
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000600005
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spelling	oai:scielo:S0034-988720000006000052005-11-14Apendicitis epiploica primaria: diagnóstico clínico y radiológicoHorvath V,EleonoraMajlis D,SergioSeguel B,SolangeWhittle P,CarolinaMacKinnon D,JohnNiedmann E,Juan PabloBaldassare P,GinaGonzález M,PaulinaSoffia C,Pablo Appendagitis Appendix Appendiceal neoplasm Colon Background: Torsion of appendices epiplocae leads to an ischemic infarct of surrounding adipose tissue, causing a syndrome, called "primary epiploic appendagitis" characterized by acute abdominal pain that can simulate a surgical clinical picture. Aim: To describe the clinical picture, ultrasonographic and computed tomographic features of primary epiploic appendagitis. Material and methods: A report of patients with acute abdominal pain whose diagnosis was a primary epiploic appendagitis, diagnosed and treated in a period of 48 months. Results: fifty five patients (45 males) aged 16 to 76 years old are reported. Their clinical presentation was acute abdominal pain in the left abdominal quadrant in 48, pain in the right lower quadrant in 4 and epigastric pain in two. Two had mild fever and 12 had nausea. Ten perform physical activities prior to the onset of pain. Imaging examinations showed a 1.5 to 5 cm diameter, uncompressible small mass of adipose origin, located anteriorly and anterolaterally, between the colon and the abdominal wall. There were inflammatory phenomena surrounding the lesion and thickening of the neighboring parietal peritoneum. In all cases, the mass gradually subsided with medical treatment. Conclusions: Primary epiploic appendagitis is a relatively frequent cause of spontaneously resolving abdominal pain. It is diagnosed by ultrasound or CT scanning. (Rev Méd Chile 2000; 128: 601-7).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.6 20002000-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000600005es10.4067/S0034-98872000000600005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Appendagitis Appendix Appendiceal neoplasm Colon
spellingShingle	Appendagitis Appendix Appendiceal neoplasm Colon Horvath V,Eleonora Majlis D,Sergio Seguel B,Solange Whittle P,Carolina MacKinnon D,John Niedmann E,Juan Pablo Baldassare P,Gina González M,Paulina Soffia C,Pablo Apendicitis epiploica primaria: diagnóstico clínico y radiológico
description	Background: Torsion of appendices epiplocae leads to an ischemic infarct of surrounding adipose tissue, causing a syndrome, called "primary epiploic appendagitis" characterized by acute abdominal pain that can simulate a surgical clinical picture. Aim: To describe the clinical picture, ultrasonographic and computed tomographic features of primary epiploic appendagitis. Material and methods: A report of patients with acute abdominal pain whose diagnosis was a primary epiploic appendagitis, diagnosed and treated in a period of 48 months. Results: fifty five patients (45 males) aged 16 to 76 years old are reported. Their clinical presentation was acute abdominal pain in the left abdominal quadrant in 48, pain in the right lower quadrant in 4 and epigastric pain in two. Two had mild fever and 12 had nausea. Ten perform physical activities prior to the onset of pain. Imaging examinations showed a 1.5 to 5 cm diameter, uncompressible small mass of adipose origin, located anteriorly and anterolaterally, between the colon and the abdominal wall. There were inflammatory phenomena surrounding the lesion and thickening of the neighboring parietal peritoneum. In all cases, the mass gradually subsided with medical treatment. Conclusions: Primary epiploic appendagitis is a relatively frequent cause of spontaneously resolving abdominal pain. It is diagnosed by ultrasound or CT scanning. (Rev Méd Chile 2000; 128: 601-7).
author	Horvath V,Eleonora Majlis D,Sergio Seguel B,Solange Whittle P,Carolina MacKinnon D,John Niedmann E,Juan Pablo Baldassare P,Gina González M,Paulina Soffia C,Pablo
author_facet	Horvath V,Eleonora Majlis D,Sergio Seguel B,Solange Whittle P,Carolina MacKinnon D,John Niedmann E,Juan Pablo Baldassare P,Gina González M,Paulina Soffia C,Pablo
author_sort	Horvath V,Eleonora
title	Apendicitis epiploica primaria: diagnóstico clínico y radiológico
title_short	Apendicitis epiploica primaria: diagnóstico clínico y radiológico
title_full	Apendicitis epiploica primaria: diagnóstico clínico y radiológico
title_fullStr	Apendicitis epiploica primaria: diagnóstico clínico y radiológico
title_full_unstemmed	Apendicitis epiploica primaria: diagnóstico clínico y radiológico
title_sort	apendicitis epiploica primaria: diagnóstico clínico y radiológico
publisher	Sociedad Médica de Santiago
publishDate	2000
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000600005
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Apendicitis epiploica primaria: diagnóstico clínico y radiológico

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