ISSN: 1899-0967
Polish Journal of Radiology
Established by prof. Zygmunt Grudziński in 1926 Sun
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1/2020
vol. 85
 
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Gastrointestinal and abdominal radiology
abstract:
Case report

Acute epiploic appendagitis: ultrasound and computed tomography findings of a rare case of acute abdominal pain and the role of other imaging techniques

Piero Trovato
1
,
Igino Simonetti
1
,
Francesco Verde
1
,
Pascal Lomoro
2
,
Giorgia Vinci
3
,
Luca Tarotto
1
,
Fabio Corvino
4
,
Antonio Corvino
5

1.
Department of Advanced Biomedical Sciences, University of Naples ”Federico II”, Naples, Italy
2.
Department of Radiology, Valduce Hospital, Como, Italy
3.
Department of Nephrology, University of Campania “Luigi Vanvitelli”, Naples, Italy
4.
Department of Interventional Radiology, AORN “A. Cardarelli”, Naples, Italy
5.
Department of Motor Science and Wellness, University of Naples “Parthenope”, Naples, Italy
© Pol J Radiol 2020; 85: e178-e182
Online publish date: 2020/04/06
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Purpose
Acute epiploic appendagitis (EA) is a relatively rare, benign and local inflammatory disease involving the epiploic appendices. Unlike its mimics, EA is generally a self-limiting inflammatory disease and can be treated conservatively.

Case presentation
A 33-year-old Caucasian man presented to our emergency department with a sever and sharp left iliac fossa pain. He underwent abdominal X-ray, ultrasound (US) and computed tomography (CT) evaluations.

Conclusion
We illustrate US and CT findings to increase the radiologists’ awareness of this condition and to avoid diagnostic delay and unnecessary use of antibiotics, hospitalization and surgery.

keywords:

epiploic appendagitis, abdominal pain, acute abdomen, computed tomography (CT), ultrasound (US), emergency radiology

 
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