| Torsion of the primary epiploic appendagitis: a case series and review of the literature. | |
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MedLine Citation:
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PMID: 19520357 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Differential diagnosis and appropriate treatment of epiploic appendagitis (EA) is a dilemma for general surgeons because of nonspecific signs and symptoms. METHODS: Twelve patients (3 women and 9 men, average age 40 years, range 18-82 years) who were diagnosed as having EA upon presenting to the emergency department or at the time of discharge between April 2002 and September 2008 were included. RESULTS: The major presenting symptom was abdominal pain. Physical examination revealed well-localized tenderness in all cases (n = 12); in addition, rebound tenderness and distention were also observed. Laboratory blood tests were normal except for 4 patients who had leukocytosis. Seven cases were diagnosed by an abdominal computed tomography scan. Five patients required surgical intervention, whereas the remaining did not. CONCLUSIONS: Surgeons should be aware of this self-limiting disease that mimics many other intra-abdominal acute conditions. An abdominal computed tomography scan has a significant role in accurate diagnosis of EA before surgery to avoid unnecessary surgical interventions. |
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Authors:
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Suleyman Ozdemir; Kamil Gulpinar; Sezai Leventoglu; Hatim Yahya Uslu; Erdem Turkoz; Necdet Ozcay; Atila Korkmaz |
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Publication Detail:
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Type: Journal Article; Review Date: 2009-06-11 |
Journal Detail:
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Title: American journal of surgery Volume: 199 ISSN: 1879-1883 ISO Abbreviation: Am. J. Surg. Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-02 Completed Date: 2010-04-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 453-8 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Surgery, Ufuk University, Medical School, Mevlana Bulvari 86-88 Mevlana, 06520, Ankara, Turkey. drsozdemir@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdomen, Acute
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etiology*,
radiography Abdominal Pain / etiology*, radiography Adult Aged Aged, 80 and over Appendicitis / diagnosis*, radiography Appendix / abnormalities*, radiography Diagnosis, Differential Female Gangrene / diagnosis, surgery Humans Laparoscopy Male Middle Aged Tomography, X-Ray Computed Torsion Abnormality / diagnosis* Torsion, Mechanical |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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