Di Serafino Marco, Iacobellis Francesca, Trovato Piero, Stavolo Ciro, Brillantino Antonio, Pinto Antonio, Romano Luigia
Department of General and Emergency Radiology, "Antonio Cardarelli" Hospital, Naples, Italy.
Department of Advanced Biomedical Sciences, "Federico II" University Hospital, Naples, Italy.
Case Rep Emerg Med. 2019 Jul 14;2019:7160247. doi: 10.1155/2019/7160247. eCollection 2019.
Epiploic appendagitis is a relatively rare disease characterized by an inflammation of fat-filled serosal outpouchings of the large intestine, called epiploic appendices. Diagnosis of epiploic appendagitis is made challenging by the lack of pathognomonic clinical features and should therefore be considered as a potential diagnosis by exclusion first of all with appendicitis or diverticulitis which are the most important causes of lower abdominal pain. Currently, with the increasing use of ultrasound and computed tomography in the evaluation of acute abdominal pain, epiploic appendagitis can be diagnosed by characteristic diagnostic imaging features. We present a case of epiploic appendagitis with objective of increasing knowledge of this disease and its diagnostic imaging findings, in order to reduce harmful and unnecessary surgical interventions.
网膜性阑尾炎是一种相对罕见的疾病，其特征是大肠充满脂肪的浆膜外突（称为网膜附件）发生炎症。由于缺乏特征性临床特征，网膜性阑尾炎的诊断具有挑战性，因此首先应通过排除最重要的下腹痛原因阑尾炎或憩室炎，将其视为一种潜在诊断。目前，随着超声和计算机断层扫描在急性腹痛评估中的使用增加，网膜性阑尾炎可通过特征性诊断影像学特征进行诊断。我们报告一例网膜性阑尾炎病例，目的是增加对该疾病及其诊断影像学表现的认识，以减少有害和不必要的手术干预。
