[Epiploic appendagitis: an underestimated self-limiting acute abdominal condition]. / Appendagitis epiploica: een onderbelichte zelflimiterende acute buikaandoening.
Ned Tijdschr Geneeskd
; 147(23): 1113-8, 2003 Jun 07.
Article
em Nl
| MEDLINE
| ID: mdl-12822521
ABSTRACT
OBJECTIVE:
To describe the clinical findings in patients with epiploic appendagitis and to evaluate its natural course.DESIGN:
Retrospective.METHOD:
A review of the medical records was carried out for all patients who were diagnosed with epiploic appendagitis using ultrasonography and computed tomography (CT), during the period June 1988-October 2001, at the Haaglanden Medical Centre (Westeinde site), The Hague, the Netherlands.RESULTS:
The study group consisted of 49 patients, 38 men and 11 women, with a median age of 41 years. The main symptom was focal abdominal pain, with a median diagnostic delay in the patients of 2 days, located in the left lower quadrant (n = 34), right lower quadrant (n = 8), right upper quadrant (n = 6) or left upper quadrant (n = 1) of the abdomen. No other complaints were present with the exception of nausea and vomiting in two patients. Leucocytosis was found in 21% of patients, the erythrocyte sedimentation rate was elevated in 26% of the patients, and signs of peritoneal irritation were found in 53% of the patients. Epiploic appendagitis was correctly included in the clinical differential diagnosis of 2 patients. All of the patients made a complete and uncomplicated recovery under conservative treatment; the majority were symptom-free within 9 days.CONCLUSION:
Due to the increased use of diagnostic imaging in patients with acute abdominal symptoms, epiploic appendagitis is much more frequently diagnosed than before. Presenting symptoms of epiploic appendagitis are non-specific, leading to misdiagnosis in most cases. Epiploic appendagitis has a benign natural course and if patients are correctly diagnosed using ultrasonography and CT, unnecessary surgery and medical treatment may be avoided.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Colite
/
Abdome Agudo
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Observational_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Europa
Idioma:
Nl
Ano de publicação:
2003
Tipo de documento:
Article