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Abdominal Imaging

, Volume 24, Issue 2, pp 129–131 | Cite as

Old and new infarction of an epiploic appendage: ultrasound mimicry of appendicitis

  • A. C. van Breda Vriesman
  • J. B. C. M. Puylaert

Abstract.

Epiploic appendagitis is a self-limiting disease. Depending on its location, it may simulate nearly any acute abdominal condition. The ultrasound and computed tomographic (CT) features are characteristic, enabling ready diagnosis and thus preventing an unnecessary laparotomy. We describe a patient with acute abdominal pain in the right lower quadrant, in whom the combination of an old and fresh infarction of an epiploic appendage simulated appendicitis on ultrasound. Subsequent CT examination made the correct diagnosis.

Key words: Epiploic appendagitis—Appendicitis—Calcification, abdominal—Mesentery—US—CT. 

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Copyright information

© Springer-Verlag New York Inc. 1999

Authors and Affiliations

  • A. C. van Breda Vriesman
    • 1
  • J. B. C. M. Puylaert
    • 1
  1. 1.Department of Diagnostic Radiology, Westeinde Hospital, Post Office Box 432, 2501 CK, The Hague, The NetherlandsNL

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