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01 June 2012

Primary epiploic appendagitis and successful outpatient management

Wolfgang J. SchnedlAEF, Robert KrauseEF, Sandra J. Wallner-LiebmannABE, Erwin TafeitBEF, Harald ManggeBEF, Manfred TillichDEF

DOI: 10.12659/MSM.882863

Med Sci Monit 2012; 18(6): CS48-51

Abstract

Background: Primary epiploic appendagitis (PEA) is a rare cause of abdominal acute or subacute complaints. Diagnosis of PEA is made with ultrasonography (US) or when computed tomography (CT) reveals a characteristic lesion.
Case Report: We report on two patients with PEA. In one patient PEA was first seen with US and confirmed with contrast enhanced CT, and in the second patient CT without contrast enhancement demonstrated PEA. In both patients an outpatient recovery with conservative non-surgical treatment is described.
Conclusions: Medical personnel should be aware of this rare disease, which mimics many other intra-abdominal acute and subacute conditions. A correct diagnosis of PEA with imaging procedures enables conservative and successful outpatient management avoiding unnecessary surgical intervention and additional costs.

Keywords: Tomography, X-Ray Computed, Outpatients, Abdomen, Acute - ultrasonography

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750