Lee Y C, Wang H P, Huang S P, Chen Y F, Wu M S, Lin J T
Department of Emergency Medicine, College of Medicine, National Taiwan University, 1, Jen-Ai Road, Taipei, Taiwan.
J Clin Ultrasound. 2001 Mar-Apr;29(3):197-9. doi: 10.1002/1097-0096(200103/04)29:3<197::aid-jcu1019>3.0.co;2-o.
Depending on its location, epiploic appendagitis may mimic nearly any acute abdominal condition. We present the case of a patient with left lower quadrant pain. Sonography demonstrated an ovoid, hyperechoic, noncompressible lesion at the point of tenderness but no inflammatory changes in the adjacent colonic wall. Color Doppler sonography showed no flow in the lesion. Based on the sonographic diagnosis of epiploic appendagitis, conservative treatment was given, with complete recovery in 5 days. Awareness of these sonographic findings may aid in the early diagnosis of epiploic appendagitis and avoid unnecessary treatment.
根据其位置，网膜附件炎可能几乎模仿任何急性腹部疾病。我们报告一例左下腹疼痛患者的病例。超声检查显示在压痛部位有一个椭圆形、高回声、不可压缩的病变，但相邻结肠壁无炎症改变。彩色多普勒超声显示病变内无血流。基于网膜附件炎的超声诊断，给予保守治疗，患者在5天内完全康复。了解这些超声表现可能有助于网膜附件炎的早期诊断并避免不必要的治疗。
