Epiploic appendagitis: Difference between revisions
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*Acutely inflamed due to torsion or venous thrombosis | *Acutely inflamed due to torsion or venous thrombosis | ||
*Mimics [[Appendicitis]] or [[Diverticulitis]] | *Mimics [[Appendicitis]] or [[Diverticulitis]] | ||
*Most often found on abdominal CT during | *Most often found on abdominal CT during abdominal pain workup | ||
*More than half occur in rectosigmoid colon | *More than half occur in rectosigmoid colon | ||
Revision as of 04:51, 15 July 2016
Background
- Benign and self-limited condition of the epiploic appendages (fat-filled sacs along surface of colon and rectum)
- Acutely inflamed due to torsion or venous thrombosis
- Mimics Appendicitis or Diverticulitis
- Most often found on abdominal CT during abdominal pain workup
- More than half occur in rectosigmoid colon
Clinical Features
- Abdominal pain
- May develop fever and leukocytosis
Differential Diagnosis
RLQ Pain
- GI
- Appendicitis
- Perforated appendicitis
- Peritonitis
- Crohn's disease (terminal ileitis)
- Diverticulitis (cecal, Asian patients)
- Inguinal hernia
- Mesenteric ischemia
- Ischemic colitis
- Meckel's diverticulum
- Neutropenic enterocolitis (typhlitis)
- Appendicitis
- GU
- Other
Diagnosis
- CT abdomen
Management
- High dose ibuprofen
- Consider vicodin
Disposition
- Home
Prognosis
- Complete resolution normally within 3-14 days
References
Schnedl WJ, et al. Insights into epiploic appendagitis. Nat Rev Gastroenterol Hepatol. 2011; 8:45-59.