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2014, Number 4

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Cir Cir 2014; 82 (4)

Epiploic appendagitis: a rare cause of abdominal pain

García-Marín A, Nofuentes-Riera C, Mella-Laborde M, Pérez-López M, Pérez-Bru S, Rubio-Cerdido JM

Language: Spanish
References: 17
Page: 389-394
PDF size: 510.27 Kb.


ABSTRACT

Background: Epiploic appendagitis is an atypical cause of abdominal pain whose knowledge could avoid diagnostic or treatment errors. Diagnosis has been performed with abdominal ultrasound or tomography with the only treatment being nonsteroidal anti-inflammatory drugs.
Objective: To analyze patients diagnosed in our hospital.
Methods: We performed a 4-year retrospective and descriptive study (March 2009-March 2013) of patients diagnosed with epiploic appendagitis in our hospital.
Results: Seventeen patients were included, 14 females and three males with a median age of 57 years. Symptom delay was 72 h. Abdominal pains were located in the left lower quadrant in 64.7% and right lower quadrant in 35.3% of patients. Blood test demonstrated leukocytes 6,300 (5,000-9,500), neutrophils 61.6% (57-65.8), and C reactive protein 1.5 (0.85-2.92). Diagnosis was confirmed with abdominal ultrasound or tomography in 88.2% and intraoperatively in 11.8%.
Conclusions: Epiploic appendagitis was more frequent in women. Abdominal pain was located in the lower quadrant, more predominant in left than right. Blood tests were normal except for increased levels of C-reactive protein. Diagnosis was made mostly preoperatively due to imaging tests, avoiding unnecessary surgical intervention.


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