Right lower quadrant pain: not always appendicitis but epiploic appendagitis of appendix
Epiploic appendagitis is a condition that mimics acute abdomen, causing inflammation of epiploic appendages. This paper aimed to present a case of ''epiploic appendagitis of the appendix'', which is a rare cause of right lower quadrant pain. A 45-year-old male patient with abdomi...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-12-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043321006385 |
| _version_ | 1818892186942439424 |
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| author | Şeref Barbaros ARIK, MD Elif GÜNAYDIN, Asst Prof İnanç GÜVENÇ, Assoc Prof |
| author_facet | Şeref Barbaros ARIK, MD Elif GÜNAYDIN, Asst Prof İnanç GÜVENÇ, Assoc Prof |
| author_sort | Şeref Barbaros ARIK, MD |
| collection | DOAJ |
| description | Epiploic appendagitis is a condition that mimics acute abdomen, causing inflammation of epiploic appendages. This paper aimed to present a case of ''epiploic appendagitis of the appendix'', which is a rare cause of right lower quadrant pain. A 45-year-old male patient with abdominal pain was referred to the radiology clinic for abdominal CT. The pain localized to the right lower quadrant and no signs of peritoneal irritation were present on physical examination. On images of abdominal CT the diameter of the appendix measured as 7 mm. The wall thickness was within normal limits and no mucosal enhancement noted. Appendiceal air was present in the lumen. An oval lesion of fat density with a hyperdense rim was seen adjacent to the anterior part of the appendix. It was causing striations and heterogeneous appearance in the surrounding mesenteric fat tissue with central areas of high attenuation. The findings noted down as “hyper-attenuating ring sign” and “central dot sign”. These pathognomonic CT findings were consistent with epiploic appendagitis and the case reported as epiploic appendagitis of the appendix. After conservative non-surgical medical treatment symptoms of patient revealed. To prevent unnecessary surgery, it is important to exclude conditions requiring emergency surgical intervention with imaging. The most effective technique recommended for imaging is CT with IV opaque. Increasing awareness and knowledge of radiologists regarding epiploic appendagitis of the appendix will rule out the possibility of potential misdiagnosis in imaging and will avoid the resultant unnecessary surgery. |
| first_indexed | 2024-12-19T17:52:42Z |
| format | Article |
| id | doaj.art-c8a42324a7cf447b8b5321eb71504188 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-19T17:52:42Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-c8a42324a7cf447b8b5321eb715041882022-12-21T20:11:53ZengElsevierRadiology Case Reports1930-04332021-12-01161236953697Right lower quadrant pain: not always appendicitis but epiploic appendagitis of appendixŞeref Barbaros ARIK, MD0Elif GÜNAYDIN, Asst Prof1İnanç GÜVENÇ, Assoc Prof2Corresponding authors.; Department of Radiology, Medicalpark Hospital, Kent Koop Mah 1868. Sok, Batıkent Blv. No:15, 06680 Ankara, TurkeyDepartment of Radiology, Medicalpark Hospital, Kent Koop Mah 1868. Sok, Batıkent Blv. No:15, 06680 Ankara, TurkeyDepartment of Radiology, Medicalpark Hospital, Kent Koop Mah 1868. Sok, Batıkent Blv. No:15, 06680 Ankara, TurkeyEpiploic appendagitis is a condition that mimics acute abdomen, causing inflammation of epiploic appendages. This paper aimed to present a case of ''epiploic appendagitis of the appendix'', which is a rare cause of right lower quadrant pain. A 45-year-old male patient with abdominal pain was referred to the radiology clinic for abdominal CT. The pain localized to the right lower quadrant and no signs of peritoneal irritation were present on physical examination. On images of abdominal CT the diameter of the appendix measured as 7 mm. The wall thickness was within normal limits and no mucosal enhancement noted. Appendiceal air was present in the lumen. An oval lesion of fat density with a hyperdense rim was seen adjacent to the anterior part of the appendix. It was causing striations and heterogeneous appearance in the surrounding mesenteric fat tissue with central areas of high attenuation. The findings noted down as “hyper-attenuating ring sign” and “central dot sign”. These pathognomonic CT findings were consistent with epiploic appendagitis and the case reported as epiploic appendagitis of the appendix. After conservative non-surgical medical treatment symptoms of patient revealed. To prevent unnecessary surgery, it is important to exclude conditions requiring emergency surgical intervention with imaging. The most effective technique recommended for imaging is CT with IV opaque. Increasing awareness and knowledge of radiologists regarding epiploic appendagitis of the appendix will rule out the possibility of potential misdiagnosis in imaging and will avoid the resultant unnecessary surgery.http://www.sciencedirect.com/science/article/pii/S1930043321006385Epiploic appendagitisRight Lower Quadrant PainEmergenc RadiologyComputedTomography |
| spellingShingle | Şeref Barbaros ARIK, MD Elif GÜNAYDIN, Asst Prof İnanç GÜVENÇ, Assoc Prof Right lower quadrant pain: not always appendicitis but epiploic appendagitis of appendix Radiology Case Reports Epiploic appendagitis Right Lower Quadrant Pain Emergenc Radiology Computed Tomography |
| title | Right lower quadrant pain: not always appendicitis but epiploic appendagitis of appendix |
| title_full | Right lower quadrant pain: not always appendicitis but epiploic appendagitis of appendix |
| title_fullStr | Right lower quadrant pain: not always appendicitis but epiploic appendagitis of appendix |
| title_full_unstemmed | Right lower quadrant pain: not always appendicitis but epiploic appendagitis of appendix |
| title_short | Right lower quadrant pain: not always appendicitis but epiploic appendagitis of appendix |
| title_sort | right lower quadrant pain not always appendicitis but epiploic appendagitis of appendix |
| topic | Epiploic appendagitis Right Lower Quadrant Pain Emergenc Radiology Computed Tomography |
| url | http://www.sciencedirect.com/science/article/pii/S1930043321006385 |
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