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J Korean Soc Emerg Med > Volume 21(2); 2010 > Article
Journal of The Korean Society of Emergency Medicine 2010;21(2): 266-270.
Four Cases of Primary Epiploic Appendagitis
Ja Chung Goo, Byeong Uk Kim, Il Young You, Won Joong Jeon, Hee Bok Chae, Seon Mee Park, Sei Jin Youn, Suk Woo Lee
1Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea. sjyoun@chungbuk.ac.kr
2Department of Emergency Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
ABSTRACT
Primary epiploic appendagitis (PEA) occurs due to inflammation of an epiploic appendage, which is a peritoneal pouch that arises from the serosal surface of the colon. PEA is often associated with infarction caused by torsion or spontaneous venous thrombosis. PEA is a self-limited disease with a course of approximately 10 days, and it requires only symptomatic management for pain. But it clinically manifests with localized abdominal pain that is often mistaken for appendicitis, diverticulitis, or cholangitis. Therefore, PEA had been diagnosed at surgery for the past few decades. Making the preoperative diagnosis of PEA through ultrasound and computed tomography (CT) has recently become possible. We report here on four cases of PEA that were diagnosed and treated by symptomatic management.
Key words: Colonic disease, Abdominal pain, Acute abdomen
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