闌尾炎的良性模仿者：腸脂垂炎

Abdominal pain can represent a spectrum of conditions, ranging from benign and self-limited disease to surgical emergencies. Differential diagnosis of right lower quadrant pain includes appendicitis, colitis, diverticulitis, and epiploic appendagitis. Here, we report the case of a male patient who w...

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Published in童綜合醫學雜誌 Vol. 14; no. 1; pp. 051 - 053
Main Authors 陳和庠(Ho-Hsiang Chen), 黃沛生(Pei-Sheng Huang), 吳肇鑫(Chao-Hsin Wu)
Format Journal Article
LanguageChinese
Published 台灣 童綜合醫學雜誌社 01.06.2020
Subjects
abdominal pain
appendicitis
epiploic appendagitis
腸脂垂炎
腹痛
闌尾炎
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Summary:Abdominal pain can represent a spectrum of conditions, ranging from benign and self-limited disease to surgical emergencies. Differential diagnosis of right lower quadrant pain includes appendicitis, colitis, diverticulitis, and epiploic appendagitis. Here, we report the case of a male patient who was transferred to the emergency department from a clinic owing to suspected appendicitis. Although his symptoms were typical, laboratory reports and abdominal ultrasonography indicated the need for further investigation using computed tomography (CT). CT scan showed a pericolonic enhanced fat-mass-like lesion and stranding at the ileocecum in the coronal and transverse views; epiploic appendagitis was the diagnosis. Epiploic appendagitis is usually considered a benign, self-limiting disease that spontaneously resolves within days to weeks and can be conservatively treated with anti-inflammatory medications. Abdominal CT is a helpful tool for diagnosing this disease while excluding other causes of abdominal pain and
ISSN:2071-3592