Document Detail


Caecal epiploic appendagitis: an unlikely occurrence.
MedLine Citation:
PMID:  18625354     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To determine whether epiploic appendagitis occurs in the caecum. METHODS: From 2000-2006, 58 cases with classic computed tomography (CT) features of acute epiploic appendagitis (focal round or oval fat density immediately adjacent to the colon with surrounding oedema and stranding, with or without a central area of high attenuation) were identified from a radiology information system and available for review on the picture archiving and communication system (PACS). Cases were assigned to one of six colonic segments: rectum, sigmoid, descending colon, transverse colon, ascending colon, and caecum. The Blyth-Still-Casella procedure was used to derive an exact upper bound on the likelihood of epiploic appendagitis occurring within the caecum. RESULTS: Twenty-eight cases occurred in the sigmoid colon, 16 in the descending colon, four in the transverse colon, and 10 in the ascending colon. No cases of acute epiploic appendagitis were identified in the caecum. Four cases of prospectively dictated caecal epiploic appendagitis were identified from the database. Retrospective review of these cases showed two cases to be epiploic appendagitis of the ascending colon. The third case demonstrated peritoneal thickening without evidence of an inflamed epiploic appendage. The fourth case was caecal diverticulitis. Based on these findings there is 95% confidence that no more than 4.6% of patients with epiploic appendagitis will show this condition within the caecum. CONCLUSION: In the authors' experience, epiploic appendagitis does not occur in the caecum. Therefore, it is an unlikely cause for an inflammatory process in this region and other conditions should be considered.
Authors:
M Macari; S Laks; C Hajdu; J Babb
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Publication Detail:
Type:  Journal Article     Date:  2008-04-14
Journal Detail:
Title:  Clinical radiology     Volume:  63     ISSN:  1365-229X     ISO Abbreviation:  Clin Radiol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-15     Completed Date:  2008-10-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  895-900     Citation Subset:  IM    
Affiliation:
Department of Radiology, Abdominal Imaging, NYU School of Medicine, NY 100016, USA. michael.macari@nyumc.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Colitis / pathology,  radiography
Female
Humans
Image Interpretation, Computer-Assisted / methods
Male
Middle Aged
Retrospective Studies
Sigmoid Diseases / radiography
Tomography, X-Ray Computed / methods
Typhlitis / radiography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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