Computed tomography findings of primary epiploic appendagitis as an easily misdiagnosed entity: Case series and review of literature

BACKGROUND: Primer epiploic appendagitis (PEA) is an uncommon condition.
METHODS: We retrospectively reviewed the clinical records and computed tomography (CT) findings of 45 patients with PEA.
RESULTS: On the basis of physical examination and pain localization, presumptive clinical diagnosis was acute appendicitis (n=13), acute cholecystitis (n=2), acute diverticulitis (n=19), renal colic (n=7) and ovarian pathology (n=4).
CONCLUSION: Although it has no characteristic clinical and laboratory features, CT is the best modality for accurate diagnosis of PEA.

Kolaylýkla atlanabilen bir antite olan epiploik apandisitin bilgisayarlý tomografi bulgularý: Olgu serisi ve literatürün gözden geçirilmesi

AMAÇ: Primer epiploik apandisit (PEA) nadir görülen bir hastalýktýr.
GEREÇ VE YÖNTEM: Bu yazýda PEA tanýsý alan 45 hastanýn klinik verileri ve bilgisayarlý tomografi (BT) bulgularý geriye dönük olarak deðerlendirildi.
BULGULAR: Fizik muayene bulgularý ve aðrýnýn lokalizasyonuna göre hastalar akut apandisit (n=13), akut kolesistit (n=2), akut diverkülit (n=19), renal kolik (n=7) ve over patolojisi (n=4) öntanýlarýný aldýlar. Bu hastalara BT incelemesi sonucunda PEA tanýsý konuldu.
TARTIÞMA: Primer epiploik apandisit patogonomik olmayan klinik ve laboratuvar bulgularýna sahiptir ve akut karýn hastalýklarýnýn deðerlendirilmesinde akýlda tutulmasý gereken bir klinik antitedir.