Epiploic appendagitis: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*[[Abdominal pain]] | *[[Abdominal pain]] | ||
*May develop fever and leukocytosis | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 17:30, 17 August 2015
Background
- Benign and self-limited condition of the epiploic appendages
- Most often found on abdominal CT during abd 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
Treatment
- High dose ibuprofen
- Consider vicodin
Disposition
- Home
Prognosis
- Complete resolution normally within 3-14 days