Epiploik Apendiks Enflamasyonu: Primer Epiploik Apandajit

Epiploik apendiks kolonun çoğunu kaplayan omental uzantılardır. Patolojik değişikliklerin çoğu spontan torsiyon veya venöz tromboz sonrası oluşan enflamasyon ile ilişkilidir ve primer epiploik apandajit olarak adlandırılır. Nispeten nadir görülen bu intra-abdominal patoloji için herhangi bir patognomonik semptom, bulgu veya laboratuvar testi yoktur. Sağ veya sol alt kadranda akut başlangıçlı lokalize karın ağrısı olan non-toksik görünümdeki hasta tipik prezentasyondur. İntra-abdominal patolojilerin ayırıcı tanısında primer epiploik apandajit farkındalığı ile ultrason ve tomografi gibi görüntüleme çalışmaları doğru tanı koymada anahtar role sahiptir. Konservatif tedavi çoğu durumda yeterli olduğundan doğru ve zamanında tanı ile uygun hasta yönetimi sağlanıp gereksiz hastane yatışları ve girişimler önlenebilir.

Anahtar Kelimeler:

Apendiks epiploica, apandajit, yağ nekrozu, akut batın, ayırıcı tanı

THE INFLAMMATION OF EPIPLOIC APPENDIX: PRIMARY EPIPLOIC APPENDAGITIS

Epiploic appendices are extensions of omentum which covers most of the colon. Most of the pathologic changes are related with spontaneous torsion or venous thrombosis culminating with inflammation and is referred as primary epiploic appendagitis (PEA). There is no pathognomonic symptom, finding or laboratory test for this relatively rare intra-abdominal inflammation. A non-toxic patient with acute onset localized abdominal pain in the right or left lower quadrant is the typical presentation. Imaging studies such as ultrasound and tomography with the awareness of PEA in differential diagnoses of intra-abdominal pathologies are the key to correct diagnosis. Since the conservative treatment is sufficient in most of cases, accurate and timely diagnosis can ensure the appropriate patient management and can prevent unnecessary hospitalizations and interventions.

Keywords:

Appendix epiploica, appendagitis, fat necrosis, acute abdomen, differential diagnosis,

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