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KMID : 0988920090070010056
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Intestinal Research
2009 Volume.7 No. 1 p.56 ~ p.59
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Seven Cases of Epiploic Appendagitis: Retrograde Analysis of Clinical Characteristics
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Choi Young-Chul
Kim Ho-Jung
Kim Kwang-Seok
Jin Yong-Hyeon
Lee Uh-Joo
Ahn Hong-Min
Lee Tae-Seung
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Abstract
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Epiploic appendagitis is a relatively rare cause of acute abdominal pain. Usually, epiploic appendagitis is a benign
and self-limited condition, but it can be clinically misdiagnosed as acute appendicitis or diverticulitis, so an inaccurate
diagnosis may lead to unnecessary treatment. We recently managed 7 cases of epiploic appendagitis during 1 year
and review these cases with an emphasis on the clinical diagnostic features. The main pathophysiologic mechanism
underlying epiploic appendagitis is thought to be triggered by appendageal torsion and caused by a subsequent blood
flow disturbance. This medical condition must be kept in mind when a patient with acute abdominal pain has
well-localized pain which is characteristically sharp in nature and a mild systemic inflammatory response compared
to the severity of the pain.
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KEYWORD
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Epiploic Appendagitis, Abdomen, Acute, Diagnosis, Differential
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