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Clinical, diagnostic and therapeutic aspects of the epiploic appendagitis


International Journal of Radiology & Radiation Therapy
Denise Camilios Cossiolo, School of Medicine, Catholic University of Paraná, Brazil
Rodrigo Eik Sahyun, School of Medicine, Catholic University of Paraná, Brazil
Kellyn Garbuio da Silva, School of Medicine, Catholic University of Paraná, Brazil
Marco Aurelio Cruciol Rodrigues,, School of Medicine, Catholic University of Paraná, Brazil
Emanuel Gois Junior, School of Medicine, Catholic University of Paraná, Brazil
Helio Aparecido Batistela Junior, School of Medicine, Catholic University of Paraná, Brazil
Naja Nabut, School of Medicine, Catholic University of Paraná, Brazil

Abstract

Background: The Epiploic Appendagitis is an uncommon pathology arising from the torsion or spontaneous venous thrombosis of the veins responsible for the drainage of the apoptotic appendages.
Aim: The purpose of this research is to report the characteristics of this disease.
Method: The review includes articles published in papers indexed in the Scielo and PubMed databases over the last eight years (2008-2016). The following headings were crossing: Epiploic Appendagitis, differential diagnosis of Appendagitis and diagnostic methods of Appendagitis, and their respective literal translations in English, were selected 26 articles, used for database.
Results: Although there is discordance in the literature, the male sex is more frequently affected by this pathology. The characteristic manifestation is acute non-migratory abdominal pain, most often located in the lower left quadrant of the abdomen. The diagnosis is made from images from the Computed Tomography. The treatment occurs outpatient and provides for administration of analgesic and anti-inflammatory.
Conclusion: A correct initial approach avoids invasive and unnecessary procedures.

Keywords

tomography, differentials diagnostics, appendicitis, epiploic, appendagitis, physical examination, mimicking acute abdomen, computed tomography, ultrasonography, analgesics, anti-inflammatories, pathology, defensive posture, peritoneal reaction, venous thrombosis

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