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KMID : 0988920090070010047
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Intestinal Research
2009 Volume.7 No. 1 p.47 ~ p.51
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Clinical Characteristics of Primary Epiploic Appendagitis
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Park Jae-Jung
Jung Ji-Min
Shim Ki-Nam
Jung Sung-Ae
Yoo Kwon
Kang Min-Jung
Kim Seong-Eun
Moon Il-Hwan
Kim So-I
Noh Young-Wook
Kim Go-Heun
Heo Hyun-Mi
Bae Suh-Eun
Choi Yun-Jung
Lee Myung-Won
Jung Hye-Kyung
Kim Tae-Hun
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Abstract
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Background/Aims: Primary epiploic appendagitis (PEA) is a rare cause of focal abdominal pain in otherwise healthy patients. Patients with acute abdominal pain are often misdiagnosed clinically as acute appendicitis or diverticulitis. The purpose of this study was to describe the clinical presentation and characteristic computed tomography (CT) findings of PEA.
Methods: We reviewed the clinical records and CT images of 23 consecutive patients in Korea who presented with acute abdominal pain between January 2005 and February 2009 and had radiologic signs of PEA.
Results: Twenty-three patients (7 females and 16 males; average age, 42±14 years) were diagnosed with
symptomatic PEA. Abdominal pain localized to the left (8 patients [44.5%]) and right (10 patients [55.5%]) lower quadrants as the leading symptom. CT findings specific for PEA were present in all patients except one. The symptoms resolved within 1 week (mean, 3.5 days) with or without antibiotic treatment.
Conclusions: In patients with localized, sharp, acute abdominal pain not associated with other symptoms, such as nausea, vomiting, fever or atypical laboratory values, the diagnosis of PEA should be considered and the diagnosis confirmed by CT scan.
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KEYWORD
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Epiploic Appendagitis, Acute Abdomen
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