CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain

Abstract Epiploic appendagitis is a rare cause of acute abdominal pain, determined by a benign self-limiting inflammation of the epiploic appendages. It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute div...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Giambelluca, Dario [verfasserIn] Cannella, Roberto Caruana, Giovanni Salvaggio, Leonardo Grassedonio, Emanuele Galia, Massimo Midiri, Massimo Salvaggio, Giuseppe

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	Adipose tissue Epiploic appendices Abdominal pain Acute abdomen Differential diagnosis Large intestine

Anmerkung:	© The Author(s). 2019

Übergeordnetes Werk:	Enthalten in: Insights into imaging - Berlin : Springer, 2010, 10(2019), 1 vom: 22. Feb.
Übergeordnetes Werk:	volume:10 ; year:2019 ; number:1 ; day:22 ; month:02

Links:	Volltext

DOI / URN:	10.1186/s13244-019-0715-9

Katalog-ID:	SPR031007333

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allfields	10.1186/s13244-019-0715-9 doi (DE-627)SPR031007333 (SPR)s13244-019-0715-9-e DE-627 ger DE-627 rakwb eng Giambelluca, Dario verfasserin aut CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2019 Abstract Epiploic appendagitis is a rare cause of acute abdominal pain, determined by a benign self-limiting inflammation of the epiploic appendages. It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute diverticulitis or appendicitis. Given its importance as clinical mimicker, imaging plays a crucial role to avoid inaccurate diagnosis that may lead to unnecessary hospitalization, antibiotic therapy, and surgery. CT represents the gold standard technique for the evaluation of patients with indeterminate acute abdominal pain. Imaging findings include the presence of an oval lesion with fat-attenuation surrounded by a thin hyperdense rim on CT (“hyperattenuating ring sign”) abutting anteriorly the large bowel, usually associated with inflammation of the adjacent mesentery. A central high-attenuation focus within the fatty lesion (“central dot sign”) can sometimes be observed and is indicative of a central thrombosed vein within the inflamed epiploic appendage. Rarely, epiploic appendagitis may be located within a hernia sac or attached to the vermiform appendix. Chronically infarcted epiploic appendage may detach, appearing as an intraperitoneal loose calcified body in the abdominal cavity. In this review, we aim to provide an overview of the clinical presentation and key imaging features that may help the radiologist to make an accurate diagnosis and guide the clinical management of those patients. Adipose tissue (dpeaa)DE-He213 Epiploic appendices (dpeaa)DE-He213 Abdominal pain (dpeaa)DE-He213 Acute abdomen (dpeaa)DE-He213 Differential diagnosis (dpeaa)DE-He213 Large intestine (dpeaa)DE-He213 Cannella, Roberto aut Caruana, Giovanni aut Salvaggio, Leonardo (orcid)0000-0003-2465-1185 aut Grassedonio, Emanuele aut Galia, Massimo aut Midiri, Massimo aut Salvaggio, Giuseppe (orcid)0000-0003-2465-1185 aut Enthalten in Insights into imaging Berlin : Springer, 2010 10(2019), 1 vom: 22. Feb. (DE-627)621547425 (DE-600)2543323-4 1869-4101 nnns volume:10 year:2019 number:1 day:22 month:02 https://dx.doi.org/10.1186/s13244-019-0715-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2019 1 22 02
spelling	10.1186/s13244-019-0715-9 doi (DE-627)SPR031007333 (SPR)s13244-019-0715-9-e DE-627 ger DE-627 rakwb eng Giambelluca, Dario verfasserin aut CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2019 Abstract Epiploic appendagitis is a rare cause of acute abdominal pain, determined by a benign self-limiting inflammation of the epiploic appendages. It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute diverticulitis or appendicitis. Given its importance as clinical mimicker, imaging plays a crucial role to avoid inaccurate diagnosis that may lead to unnecessary hospitalization, antibiotic therapy, and surgery. CT represents the gold standard technique for the evaluation of patients with indeterminate acute abdominal pain. Imaging findings include the presence of an oval lesion with fat-attenuation surrounded by a thin hyperdense rim on CT (“hyperattenuating ring sign”) abutting anteriorly the large bowel, usually associated with inflammation of the adjacent mesentery. A central high-attenuation focus within the fatty lesion (“central dot sign”) can sometimes be observed and is indicative of a central thrombosed vein within the inflamed epiploic appendage. Rarely, epiploic appendagitis may be located within a hernia sac or attached to the vermiform appendix. Chronically infarcted epiploic appendage may detach, appearing as an intraperitoneal loose calcified body in the abdominal cavity. In this review, we aim to provide an overview of the clinical presentation and key imaging features that may help the radiologist to make an accurate diagnosis and guide the clinical management of those patients. Adipose tissue (dpeaa)DE-He213 Epiploic appendices (dpeaa)DE-He213 Abdominal pain (dpeaa)DE-He213 Acute abdomen (dpeaa)DE-He213 Differential diagnosis (dpeaa)DE-He213 Large intestine (dpeaa)DE-He213 Cannella, Roberto aut Caruana, Giovanni aut Salvaggio, Leonardo (orcid)0000-0003-2465-1185 aut Grassedonio, Emanuele aut Galia, Massimo aut Midiri, Massimo aut Salvaggio, Giuseppe (orcid)0000-0003-2465-1185 aut Enthalten in Insights into imaging Berlin : Springer, 2010 10(2019), 1 vom: 22. Feb. (DE-627)621547425 (DE-600)2543323-4 1869-4101 nnns volume:10 year:2019 number:1 day:22 month:02 https://dx.doi.org/10.1186/s13244-019-0715-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2019 1 22 02
allfields_unstemmed	10.1186/s13244-019-0715-9 doi (DE-627)SPR031007333 (SPR)s13244-019-0715-9-e DE-627 ger DE-627 rakwb eng Giambelluca, Dario verfasserin aut CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2019 Abstract Epiploic appendagitis is a rare cause of acute abdominal pain, determined by a benign self-limiting inflammation of the epiploic appendages. It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute diverticulitis or appendicitis. Given its importance as clinical mimicker, imaging plays a crucial role to avoid inaccurate diagnosis that may lead to unnecessary hospitalization, antibiotic therapy, and surgery. CT represents the gold standard technique for the evaluation of patients with indeterminate acute abdominal pain. Imaging findings include the presence of an oval lesion with fat-attenuation surrounded by a thin hyperdense rim on CT (“hyperattenuating ring sign”) abutting anteriorly the large bowel, usually associated with inflammation of the adjacent mesentery. A central high-attenuation focus within the fatty lesion (“central dot sign”) can sometimes be observed and is indicative of a central thrombosed vein within the inflamed epiploic appendage. Rarely, epiploic appendagitis may be located within a hernia sac or attached to the vermiform appendix. Chronically infarcted epiploic appendage may detach, appearing as an intraperitoneal loose calcified body in the abdominal cavity. In this review, we aim to provide an overview of the clinical presentation and key imaging features that may help the radiologist to make an accurate diagnosis and guide the clinical management of those patients. Adipose tissue (dpeaa)DE-He213 Epiploic appendices (dpeaa)DE-He213 Abdominal pain (dpeaa)DE-He213 Acute abdomen (dpeaa)DE-He213 Differential diagnosis (dpeaa)DE-He213 Large intestine (dpeaa)DE-He213 Cannella, Roberto aut Caruana, Giovanni aut Salvaggio, Leonardo (orcid)0000-0003-2465-1185 aut Grassedonio, Emanuele aut Galia, Massimo aut Midiri, Massimo aut Salvaggio, Giuseppe (orcid)0000-0003-2465-1185 aut Enthalten in Insights into imaging Berlin : Springer, 2010 10(2019), 1 vom: 22. Feb. (DE-627)621547425 (DE-600)2543323-4 1869-4101 nnns volume:10 year:2019 number:1 day:22 month:02 https://dx.doi.org/10.1186/s13244-019-0715-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2019 1 22 02
allfieldsGer	10.1186/s13244-019-0715-9 doi (DE-627)SPR031007333 (SPR)s13244-019-0715-9-e DE-627 ger DE-627 rakwb eng Giambelluca, Dario verfasserin aut CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2019 Abstract Epiploic appendagitis is a rare cause of acute abdominal pain, determined by a benign self-limiting inflammation of the epiploic appendages. It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute diverticulitis or appendicitis. Given its importance as clinical mimicker, imaging plays a crucial role to avoid inaccurate diagnosis that may lead to unnecessary hospitalization, antibiotic therapy, and surgery. CT represents the gold standard technique for the evaluation of patients with indeterminate acute abdominal pain. Imaging findings include the presence of an oval lesion with fat-attenuation surrounded by a thin hyperdense rim on CT (“hyperattenuating ring sign”) abutting anteriorly the large bowel, usually associated with inflammation of the adjacent mesentery. A central high-attenuation focus within the fatty lesion (“central dot sign”) can sometimes be observed and is indicative of a central thrombosed vein within the inflamed epiploic appendage. Rarely, epiploic appendagitis may be located within a hernia sac or attached to the vermiform appendix. Chronically infarcted epiploic appendage may detach, appearing as an intraperitoneal loose calcified body in the abdominal cavity. In this review, we aim to provide an overview of the clinical presentation and key imaging features that may help the radiologist to make an accurate diagnosis and guide the clinical management of those patients. Adipose tissue (dpeaa)DE-He213 Epiploic appendices (dpeaa)DE-He213 Abdominal pain (dpeaa)DE-He213 Acute abdomen (dpeaa)DE-He213 Differential diagnosis (dpeaa)DE-He213 Large intestine (dpeaa)DE-He213 Cannella, Roberto aut Caruana, Giovanni aut Salvaggio, Leonardo (orcid)0000-0003-2465-1185 aut Grassedonio, Emanuele aut Galia, Massimo aut Midiri, Massimo aut Salvaggio, Giuseppe (orcid)0000-0003-2465-1185 aut Enthalten in Insights into imaging Berlin : Springer, 2010 10(2019), 1 vom: 22. Feb. (DE-627)621547425 (DE-600)2543323-4 1869-4101 nnns volume:10 year:2019 number:1 day:22 month:02 https://dx.doi.org/10.1186/s13244-019-0715-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2019 1 22 02
allfieldsSound	10.1186/s13244-019-0715-9 doi (DE-627)SPR031007333 (SPR)s13244-019-0715-9-e DE-627 ger DE-627 rakwb eng Giambelluca, Dario verfasserin aut CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2019 Abstract Epiploic appendagitis is a rare cause of acute abdominal pain, determined by a benign self-limiting inflammation of the epiploic appendages. It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute diverticulitis or appendicitis. Given its importance as clinical mimicker, imaging plays a crucial role to avoid inaccurate diagnosis that may lead to unnecessary hospitalization, antibiotic therapy, and surgery. CT represents the gold standard technique for the evaluation of patients with indeterminate acute abdominal pain. Imaging findings include the presence of an oval lesion with fat-attenuation surrounded by a thin hyperdense rim on CT (“hyperattenuating ring sign”) abutting anteriorly the large bowel, usually associated with inflammation of the adjacent mesentery. A central high-attenuation focus within the fatty lesion (“central dot sign”) can sometimes be observed and is indicative of a central thrombosed vein within the inflamed epiploic appendage. Rarely, epiploic appendagitis may be located within a hernia sac or attached to the vermiform appendix. Chronically infarcted epiploic appendage may detach, appearing as an intraperitoneal loose calcified body in the abdominal cavity. In this review, we aim to provide an overview of the clinical presentation and key imaging features that may help the radiologist to make an accurate diagnosis and guide the clinical management of those patients. Adipose tissue (dpeaa)DE-He213 Epiploic appendices (dpeaa)DE-He213 Abdominal pain (dpeaa)DE-He213 Acute abdomen (dpeaa)DE-He213 Differential diagnosis (dpeaa)DE-He213 Large intestine (dpeaa)DE-He213 Cannella, Roberto aut Caruana, Giovanni aut Salvaggio, Leonardo (orcid)0000-0003-2465-1185 aut Grassedonio, Emanuele aut Galia, Massimo aut Midiri, Massimo aut Salvaggio, Giuseppe (orcid)0000-0003-2465-1185 aut Enthalten in Insights into imaging Berlin : Springer, 2010 10(2019), 1 vom: 22. Feb. (DE-627)621547425 (DE-600)2543323-4 1869-4101 nnns volume:10 year:2019 number:1 day:22 month:02 https://dx.doi.org/10.1186/s13244-019-0715-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2019 1 22 02
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author	Giambelluca, Dario
spellingShingle	Giambelluca, Dario misc Adipose tissue misc Epiploic appendices misc Abdominal pain misc Acute abdomen misc Differential diagnosis misc Large intestine CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain
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topic_title	CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain Adipose tissue (dpeaa)DE-He213 Epiploic appendices (dpeaa)DE-He213 Abdominal pain (dpeaa)DE-He213 Acute abdomen (dpeaa)DE-He213 Differential diagnosis (dpeaa)DE-He213 Large intestine (dpeaa)DE-He213
topic	misc Adipose tissue misc Epiploic appendices misc Abdominal pain misc Acute abdomen misc Differential diagnosis misc Large intestine
topic_unstemmed	misc Adipose tissue misc Epiploic appendices misc Abdominal pain misc Acute abdomen misc Differential diagnosis misc Large intestine
topic_browse	misc Adipose tissue misc Epiploic appendices misc Abdominal pain misc Acute abdomen misc Differential diagnosis misc Large intestine
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title	CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain
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title_full	CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain
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title_sort	ct imaging findings of epiploic appendagitis: an unusual cause of abdominal pain
title_auth	CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain
abstract	Abstract Epiploic appendagitis is a rare cause of acute abdominal pain, determined by a benign self-limiting inflammation of the epiploic appendages. It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute diverticulitis or appendicitis. Given its importance as clinical mimicker, imaging plays a crucial role to avoid inaccurate diagnosis that may lead to unnecessary hospitalization, antibiotic therapy, and surgery. CT represents the gold standard technique for the evaluation of patients with indeterminate acute abdominal pain. Imaging findings include the presence of an oval lesion with fat-attenuation surrounded by a thin hyperdense rim on CT (“hyperattenuating ring sign”) abutting anteriorly the large bowel, usually associated with inflammation of the adjacent mesentery. A central high-attenuation focus within the fatty lesion (“central dot sign”) can sometimes be observed and is indicative of a central thrombosed vein within the inflamed epiploic appendage. Rarely, epiploic appendagitis may be located within a hernia sac or attached to the vermiform appendix. Chronically infarcted epiploic appendage may detach, appearing as an intraperitoneal loose calcified body in the abdominal cavity. In this review, we aim to provide an overview of the clinical presentation and key imaging features that may help the radiologist to make an accurate diagnosis and guide the clinical management of those patients. © The Author(s). 2019
abstractGer	Abstract Epiploic appendagitis is a rare cause of acute abdominal pain, determined by a benign self-limiting inflammation of the epiploic appendages. It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute diverticulitis or appendicitis. Given its importance as clinical mimicker, imaging plays a crucial role to avoid inaccurate diagnosis that may lead to unnecessary hospitalization, antibiotic therapy, and surgery. CT represents the gold standard technique for the evaluation of patients with indeterminate acute abdominal pain. Imaging findings include the presence of an oval lesion with fat-attenuation surrounded by a thin hyperdense rim on CT (“hyperattenuating ring sign”) abutting anteriorly the large bowel, usually associated with inflammation of the adjacent mesentery. A central high-attenuation focus within the fatty lesion (“central dot sign”) can sometimes be observed and is indicative of a central thrombosed vein within the inflamed epiploic appendage. Rarely, epiploic appendagitis may be located within a hernia sac or attached to the vermiform appendix. Chronically infarcted epiploic appendage may detach, appearing as an intraperitoneal loose calcified body in the abdominal cavity. In this review, we aim to provide an overview of the clinical presentation and key imaging features that may help the radiologist to make an accurate diagnosis and guide the clinical management of those patients. © The Author(s). 2019
abstract_unstemmed	Abstract Epiploic appendagitis is a rare cause of acute abdominal pain, determined by a benign self-limiting inflammation of the epiploic appendages. It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute diverticulitis or appendicitis. Given its importance as clinical mimicker, imaging plays a crucial role to avoid inaccurate diagnosis that may lead to unnecessary hospitalization, antibiotic therapy, and surgery. CT represents the gold standard technique for the evaluation of patients with indeterminate acute abdominal pain. Imaging findings include the presence of an oval lesion with fat-attenuation surrounded by a thin hyperdense rim on CT (“hyperattenuating ring sign”) abutting anteriorly the large bowel, usually associated with inflammation of the adjacent mesentery. A central high-attenuation focus within the fatty lesion (“central dot sign”) can sometimes be observed and is indicative of a central thrombosed vein within the inflamed epiploic appendage. Rarely, epiploic appendagitis may be located within a hernia sac or attached to the vermiform appendix. Chronically infarcted epiploic appendage may detach, appearing as an intraperitoneal loose calcified body in the abdominal cavity. In this review, we aim to provide an overview of the clinical presentation and key imaging features that may help the radiologist to make an accurate diagnosis and guide the clinical management of those patients. © The Author(s). 2019
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title_short	CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain
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author2	Cannella, Roberto Caruana, Giovanni Salvaggio, Leonardo Grassedonio, Emanuele Galia, Massimo Midiri, Massimo Salvaggio, Giuseppe
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up_date	2024-07-03T21:26:35.502Z
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It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute diverticulitis or appendicitis. Given its importance as clinical mimicker, imaging plays a crucial role to avoid inaccurate diagnosis that may lead to unnecessary hospitalization, antibiotic therapy, and surgery. CT represents the gold standard technique for the evaluation of patients with indeterminate acute abdominal pain. Imaging findings include the presence of an oval lesion with fat-attenuation surrounded by a thin hyperdense rim on CT (“hyperattenuating ring sign”) abutting anteriorly the large bowel, usually associated with inflammation of the adjacent mesentery. A central high-attenuation focus within the fatty lesion (“central dot sign”) can sometimes be observed and is indicative of a central thrombosed vein within the inflamed epiploic appendage. Rarely, epiploic appendagitis may be located within a hernia sac or attached to the vermiform appendix. Chronically infarcted epiploic appendage may detach, appearing as an intraperitoneal loose calcified body in the abdominal cavity. In this review, we aim to provide an overview of the clinical presentation and key imaging features that may help the radiologist to make an accurate diagnosis and guide the clinical management of those patients.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Adipose tissue</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Epiploic appendices</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Abdominal pain</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Acute abdomen</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Differential diagnosis</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Large intestine</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Cannella, Roberto</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Caruana, Giovanni</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Salvaggio, Leonardo</subfield><subfield code="0">(orcid)0000-0003-2465-1185</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Grassedonio, Emanuele</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Galia, Massimo</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Midiri, Massimo</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Salvaggio, Giuseppe</subfield><subfield code="0">(orcid)0000-0003-2465-1185</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Insights into imaging</subfield><subfield code="d">Berlin : Springer, 2010</subfield><subfield code="g">10(2019), 1 vom: 22. 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CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain

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