Clin Ultrasound.  2017 Nov;2(2):73-76. 10.18525/cu.2017.2.2.73.

Primary Epiploic Appendagitis with Adjacent Colonic Wall Thickening

• Cho KH

• KMID: 2555373
• DOI: http://doi.org/10.18525/cu.2017.2.2.73

Abstract

Primary epiploic appendagitis (PEA) is a benign and self-limited condition caused by the spontaneous thrombosis of the supplying blood vessels or the torsion of the appendage. It is rare and its signs and symptoms can mimic other causes of acute abdominal pain. The inaccurate diagnosis can lead to unnecessary hospitalization, antibiotic therapy, and surgery. So clinicians should be aware of PEA and include it in the differential diagnosis of acute localized abdominal pain. But it is difficult to diagnose because of the lack of pathognomonic clinical features and its diagnosis depends on imaging studies. Ultrasonography and computed tomography are important for accurate diagnosis of PEA. Although changes in the colon wall itself are rare, adjacent colonic wall thickening secondary to the spread of inflammation are present occasionally. We report on the case of a 39-year-old-male diagnosed with primary epiploic appendagitis with adjacent colonic wall thickening.

Keyword

원발성 복막수염; 대장벽의 비후; 급성 복통; Primary epiploic appendagitis; Colonic wall thickening; Acute abdominal pain