Primer epiploik apendagitis: Bilgisayarli tomografi bulgulari
Primary epiploic appendagitis: computerized tomography findings
Özet
Primer epiploik apendagitis kolonik epiploik apendikslerin torsiyon ya da spontan venöz tromboz sonucu iskemi ya da inflamasyonu ile karakterize nadir bir hastaliktir. Nadir olmasi ve nonspesifik belirtileri nedeni ile primer epiploik apendagitisin klinik tanisi zordur ve hastalarin çogu divertikülit, apandisit ya da kolesistit gibi yanlis tanilar alir. Ultrasonografi ve bilgisayarli tomografi incelemeleri güvenilir tani saglayarak kolonoskopi gibi invaziv prosedürleri ve gereksiz cerrahiyi önler. Bu bildiride primer epiploik apendagitisli 59 yasinda kadin olgu sunulmakta ve bu antitenin literatüre uygun olarak patognomonik bilgisayarli tomografi bulgulari tartisilmaktadir.
Abstract
Primary epiploic appendagitis is a rare inflammatory disease caused by either torsion or spontaneous venous thrombosis of colonic epiploic appendices, with subsequent infarction and inflammation. Because of its rarity and nonspecific presentation, the clinical diagnosis is difficult and most patients are misdiagnosed as diverticulitis, appendicitis, or cholecystitis. Ultrasonography and computed tomography allow a reliable diagnosis and render invasive procedures such as colonoscopy and surgery unnecessary. We report the case of a 59 year old woman with primary epiploic appendagitis and discuss the pathognomonic computerized tomography findings of this entity in the light of the literature.
