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A Case of Primary Epiploic Appendagitis

Journal of the Korean Pediatric Society 2002;45(8):1024-1027.
Published online August 15, 2002.
A Case of Primary Epiploic Appendagitis
Tae Young Ha1, Chi Kwan Kim1, Jin Young Jeong1, Jong Hwa Lee2
1Department of Pediatrics, College of Medicine, Ulsan University, Ulsan, Korea
2Department of Radiology, College of Medicine, Ulsan University, Ulsan, Korea
원발성 복막수염 1례
하태영1, 김치관1, 정진영1, 이종화2
1울산대학교 의과대학 소아과학교실
2울산대학교 의과대학 진단방사선학교실
Jin Young Jeong, Email: jyjeong@uuh.ulsan.kr
Epiploic appendages are small, 0.5-5 cm long, peritoneal pouches containing small vessels and fat, located on the serous surface of the colon, from the cecum to the rectosigmoid junction. Pathologic states are rare in these appendages, the most frequent being is infarction either due to torsion or spontaneous. As a result of subsequent inflammatory reaction, the condition has been termed primary epiploic appendagitis. The condition is manifested by localized abdominal pain, which is often mistaken for appendicitis or diverticulitis and is usually diagnosed at surgery. With the aid of comtemporary imaging modalities, however, the diagnosis of epiploic appendagitis need no longer hinge on the pathologic specimen but may be established by the clinician. As this disorder recently has been demonstrated to be predominantly self-limited, laparotomy is no longer considered necessary. Conservative management has been shown to be safe. We report a 5-year-old male patient with epiploic appendagitis who presented with acute abdominal pain.
Key Words: Appendagitis, Epiploic, Acute abdominal pain

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