Sajjad Z, Sajjad N, Friedman M, Atlas S A
Department of Medicine, Hospital of Saint Raphael, New Haven, USA.
Conn Med. 2000 Nov;64(11):655-7.
Primary epiploic appendagitis has a nonspecific clinical presentation but pathognomonic appearance on computerized tomography. We report a patient who was promptly diagnosed and treated with conservative management, and review the literature. This entity has not been well described in the general medical literature. Epiploic appendagitis should be considered in the differential diagnosis of atypical presentations of acute abdominal pain. Integration of a patient's history and physical exam with laboratory and computerized tomography findings allows a timely and confident diagnosis. Surgery is not necessary, but close follow-up is required.
原发性网膜附件炎临床表现不具特异性，但在计算机断层扫描上有特征性表现。我们报告一例经及时诊断并采用保守治疗的患者，并对相关文献进行综述。该病症在一般医学文献中尚未得到充分描述。在急性腹痛非典型表现的鉴别诊断中应考虑网膜附件炎。将患者的病史、体格检查与实验室及计算机断层扫描结果相结合，有助于及时、准确地做出诊断。无需进行手术，但需要密切随访。
