Primary epiploic appendagitis mimicking acute abdomen in emergency department
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Dosyalar
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Aves
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
A 27-year-old man presented to the emergency department of our institution with left lower quadrant pain that started 8 h ago. He did not describe kidney stone, chronic medical problem, or recent trauma in his anamnesis. His vital signs were stable, but
physical examination revealed defense and rebond in the left lower quadrant. Laboratory findings were unremarkable except for mildly elevated C-reactive protein (CRP) levels of 6.28 mg/L (reference value: 0–5 mg/L). He was referred to abdominal ultrasonography (USG) following laboratory tests and his written informed consent was obtained before imaging studies. Solid organs were in normal limits in USG, but a significantly increased echogenicity
was noted in the pericolic fat tissue adjacent to the sigmoid colon surrounded by a hypoechoic border, which was suspicious for sigmoid diverticulitis (Figure 1). Following USG, the patient was referred to computed tomography (CT) with the preliminary diagnosis of sigmoid diverticulitis. CT showed a pericolic oval lesion of fat attenuation with a hyperattenuating ring and central dot sign in the same region that was diagnostic for epiploic appendagitis (EA); (Figure 2). However, no diverticula or diverticulitis was observed in the sigmoid colon.
Açıklama
Anahtar Kelimeler
Acute Abdomen, Primary Epiploic Appendagitis, Defense, Rebond, Sigmoid Colon
Kaynak
Eurasian Journal Of Emergency Medicine
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
15
Sayı
1
