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KMID : 0385920100210020266
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Journal of the Korean Society of Emergency Medicine
2010 Volume.21 No. 2 p.266 ~ p.270
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Four Cases of Primary Epiploic Appendagitis
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Goo Ja-Chung
Kim Byeong-Uk
Yu Il-Young
Jeon Won-Joong
Chae Hee-Bok
Park Seon-Mee
Youn Sei-Jin
Lee Seok-Woo
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Abstract
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Primary epiploic appendagitis (PEA) occurs due to inflammation of an epiploic appendage, which is a peritoneal pouch that arises from the serosal surface of the colon. PEA is often associated with infarction caused by torsion or spontaneous venous thrombosis. PEA is a self-limited disease with a course of approximately 10 days, and it requires only symptomatic management for pain. But it clinically manifests with localized abdominal pain that is often mistaken for appendicitis, diverticulitis, or cholangitis. Therefore, PEA had been diagnosed at surgery for the past few decades. Making the preoperative diagnosis of PEA through ultrasound and computed tomography (CT) has recently become possible. We report here on four cases of PEA that were diagnosed and treated by symptomatic management.
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KEYWORD
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Colonic disease, Abdominal pain, Acute abdomen
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