腹膜垂炎
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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/07/06 00:59:56」(JST)
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Epiploic appendagitis in computed tomography.
Epiploic appendagitis (EA) is an uncommon, benign, non-surgical, self-limiting inflammatory process of the epiploic appendices. Other, older terms for the process include appendicitis epiploica and appendagitis, but these terms are used less now in order to avoid confusion with acute appendicitis.
Epiploic appendices are small, fat-filled sacs or finger-like projections along the surface of the upper and lower colon and rectum. They may become acutely inflamed as a result of torsion (twisting) or venous thrombosis. The inflammation causes pain, often described as sharp or stabbing, located on the left, right, or central regions of the abdomen. There is sometimes nausea and vomiting. The symptoms may mimic those of acute appendicitis, diverticulitis, or cholecystitis. The pain is characteristically intense during/after defecation or micturition (espec. in the segmoid type) due to the effect of traction on the pedicle of the lesion caused by straining and emptying of the bowel and bladder. Initial lab studies are usually normal. EA is usually diagnosed incidentally on CT scan which is performed to exclude more serious conditions.
Although it is self-limiting, epiploic appendagitis can cause severe pain and discomfort. It is usually thought to be best treated with an anti-inflammatory and a moderate to severe pain medication (depending on the case) as needed. Surgery is not recommended in nearly all cases. Sand and colleagues,[1] however, recommend laparascopic surgery to excise the inflamed appendage in most cases in order to prevent recurrence.
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References
- ^ Sand, M., et al. (2007). Epiploic appendagitis – clinical characteristics of an uncommon surgical diagnosis. BMC Surgery 7:11.
External links
- iRADiX Radiology Teaching file Epiploic Appendagitis
- Macrorad Teleradiology Epiploic Appendagitis
UpToDate Contents
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- 1. 腹膜垂炎 epiploic appendagitis
- 2. 小腸および大腸の腹部超音波検査 transabdominal ultrasonography of the small and large intestine
- 3. 成人における腹痛の鑑別診断 differential diagnosis of abdominal pain in adults
- 4. 腹腔鏡下手術の合併症 complications of laparoscopic surgery
English Journal
- Epiploic appendagitis: an uncommon nonsurgical cause of acute abdomen.
- Soto-Pérez-de-Celis E, González-Pezzat I.SourceDepartment of Internal Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán and Department of Surgery, Hospital Ángeles del Pedregal, Distrito Federal, México enriquesotopc@yahoo.com.
- Annals of Saudi medicine.Ann Saudi Med.2012 Jan;32(1):99-100.
- PMID 22156652
- Epiploic Appendagitis: Is There Need for Surgery to Confirm Diagnosis in Spite of Clinical and Radiological Findings?
- Hasbahceci M, Erol C, Seker M.SourceDepartment of General Surgery, Umraniye Education and Research Hospital, Hirka-i Serif M Kececi Cesmesi S Doktorlar S B Bl 6/7, Fatih, 34291, Istanbul, Turkey, hasbahceci@yahoo.com.
- World journal of surgery.World J Surg.2011 Dec 14. [Epub ahead of print]
- BACKGROUND: The present retrospective study was conducted to review the authors' experience and describe clinical and radiologic features of epiploic appendagitis (EA), which is an uncommon, self-limiting clinical entity mimicking acute appendicitis and diverticulitis. Awareness of the features of E
- PMID 22167263
Japanese Journal
- CTで診断し, 保存的に加療したS状結腸原発性腹膜垂炎の1例
- 東 悠介,上田 裕之,大野 敦司,保田 智之,福原 崇之,舛田 裕道,山口 敏紀,鎌田 耕治,服部 宜裕,中島 浩一郎
- 日本消化器病學會雜誌 = The Japanese journal of gastro-enterology 109(5), 781-787, 2012-05-05
- NAID 10030651085
- Epiploic appendagitis as an uncommon cause of lower abdominal pain
- 奥村利勝,Ohhira Masumi,Tsuchiya Yoshihiro,Kikuchi Yoko,Kohgo Yutaka,Yoshihara Shinsuke,Okabe Hirofumi,Nozu Tsukasa
- Open Journal of Gastroenterology 2(2), 31-32, 2012-05
- … AuthorEpiploic appendagitis should be considered to be an uncommon cause of lower abdominal pain. …
- NAID 120004160876
Related Links
- Epiploic appendagitis (EA) is an uncommon, benign, self-limiting inflammatory process of the epiploic appendices. Other, older terms for the process include appendicitis epiploica and appendagitis, but these terms are used less now in order ...
- Acute epiploic appendagitis is an uncommon cause of abdominal pain that has only recently been recognized. The diagnosis of this condition primarily relies on cross-sectional imaging and is made most often on CT, although occasionally ...
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- dorsal mesogastrium、greater omentum、omental、omentum majus