Sirvanci Mustafa, Balci N Cem, Karaman Kutlay, Duran Cihan, Karakaş Ercan
Department of Radiology, Florence Nightingale Hospital, Kadir Has University, Istanbul, Turkey.
Magn Reson Imaging. 2002 Jan;20(1):137-9. doi: 10.1016/s0730-725x(02)00478-2.
Primary epiploic appendagitis (PEA) occurs secondary to inflammation of an epiploic appendage, and is considered to be a rare cause of acute abdomen. In this case report, we describe the magnetic resonance imaging (MRI) findings of PEA correlated with computed tomographic (CT) findings. MRI findings included an oval shaped fat intensity mass with a central dot on T1- and T2-weighted images, which possessed an enhancing rim on postgadolinium T1-weighted fat saturated images. The lesion was best visualized on postcontrast T1-weighted fat saturated images. MRI findings of PEA should be considered in the differential diagnosis with the other causes of acute abdominal pain.
原发性网膜附件炎（PEA）继发于网膜附件的炎症，被认为是急性腹痛的罕见原因。在本病例报告中，我们描述了与计算机断层扫描（CT）结果相关的PEA的磁共振成像（MRI）表现。MRI表现包括在T1加权和T2加权图像上呈椭圆形的脂肪密度肿块，中央有一个小点，在钆增强T1加权脂肪饱和图像上有强化边缘。该病变在对比后T1加权脂肪饱和图像上显示最佳。在与其他急性腹痛原因的鉴别诊断中应考虑PEA的MRI表现。
