Abstract
We describe an unusual cause of acute abdomen due to acute epiploic appendagitis located within an incisional hernia sac. The contrast-enhanced CT showed an oval fat density structure with surrounding inflammation in the transverse mesocolon. The contrast-enhanced CT findings of the inflammation of appendices epiploicae of the transverse colon were diagnostic in this case.
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Sirvanci M, Balci NC, Karaman K, Duran C, Karakas E (2002) Primary epiploic appendagitis: MRI findings. Magn Reson Imaging. 20(1):137–139
Hiller N, Berelowitz D, Hadas-Halpern I (2000) Primary epiploic appendicitis: clinical and radiological manifestations. Isr Med Assoc J 2(12):896–898
Horvath E, Majlis S, Seguel S, Whittle C, MacKinnon J, Niedmann JP, Baldassare G, Gonzalez P, Soffia P (2000) Primary epiploic appendagitis: clinical and radiological diagnosis. Rev Med Chil 128(6):601–607
Molla E, Ripolles T, Martinez MJ, Morote V, Rosello-Sastre E (1998) Primary epiploic appendagitis: US and CT findings. Eur Radiol 8(3):435–438
Rao PM, Rhea J, Wittenberg J, Warshaw AL (1998) Misdiagnoses of primary epiploic appendagitis. Am J Surg 176(1):81–85
Rioux M, Langis P (1994) Primary epiploic appendicitis: clinical, US, and CT findings in 14 cases. Radiology 191(2):523–526
Rao PM, Wittenberg J, Lawrason JN (1997) Primary epiploic appendagitis: evolutionary changes in CT appearance. Radiology 204(3):713–717
van Breda Vriesman AC, de Mol van Otterloo JC, Puylaert JB (2003) Epiploic appendagitis: an underestimated self-limiting acute abdominal condition. Ned Tijdschr Geneeskd 147(23):1113–1118
Habib FA, McAleese P, Kolachalam RB (1998) Laparoscopic management of incarcerated hernia of appendices epiploicae: report of two cases and review of literature. Surg Laparosc Endosc 8(6):425–428
Thomas JH, Rosato FE (1974) Epiploic appendagitis. Surg Gynecol Obstet 138:23--25
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Singh, A.K., Gervais, D., Rhea, J. et al. Acute epiploic appendagitis in hernia sac: CT appearance. Emerg Radiol 11, 226–227 (2005). https://doi.org/10.1007/s10140-004-0391-y
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DOI: https://doi.org/10.1007/s10140-004-0391-y