| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
1 Division of Abdominal Imaging and Interventional Radiology, Massachusetts
General Hospital, 55 Fruit St., Boston, MA 02114.
2 Department of Emergency Radiology, Massachusetts General Hospital, Boston, MA
02114.
OBJECTIVE. Our aim was to describe the spectrum of CT findings in patients with acute epiploic appendagitis and also to evaluate the changes seen with this condition.
MATERIALS AND METHODS. Fifty patients diagnosed with acute epiploic appendagitis seen on contrast-enhanced CT were included in this study. The CT scans of the epiploic appendagitis were evaluated for the presence of colon wall thickening, a focal fatty center, inflammatory changes, location in relationship to the colon, size, and presence or absence of central high density within the fat. In 10 patients, the initial findings were compared with findings of follow-up CT performed between 3 days-21 months after the first CT.
RESULTS. The most common part of colon involved by acute epiploic appendagitis was the sigmoid colon (31/50), and the most common position was anterior to the colonic lumen (41/50). All 50 patients with acute epiploic appendagitis had a central fatty core surrounded by inflammation. Colon wall thickening was present in only two, and a central high-density focus was noted only in 27 of 50 patients. In 86% (43/50) of patients, the fatty central core was between 1.5 and 3.5 cm in length. The changes seen on follow-up CT varied, including increased density with a decrease in the size of the fatty central core, no change, complete resolution of findings, and minimal residual density.
CONCLUSION. On CT, acute epiploic appendagitis has a predictable appearance in terms of location, size, and density. The most common finding on CT is a fat-density oval lesion with surrounding inflammation on the anterior aspect of the sigmoid colon. The changes on CT are not predictable in the 2-week to 6-month window.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
|
|
 |
|
  A. T. Almeida, L. Melao, B. Viamonte, R. Cunha, and J. M. Pereira Epiploic Appendagitis: An Entity Frequently Unknown to Clinicians--Diagnostic Imaging, Pitfalls, and Look-Alikes Am. J. Roentgenol., November 1, 2009; 193(5): 1243 - 1251. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 ANSWER Gut, May 1, 2008; 57(5): 622 - 622. [Full Text] [PDF]
|
|
|
|
 |
|
 A. Singh, R. Danrad, P. F. Hahn, M. A. Blake, P. R. Mueller, and R. A. Novelline MR Imaging of the Acute Abdomen and Pelvis: Acute Appendicitis and Beyond RadioGraphics, September 1, 2007; 27(5): 1419 - 1431. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E M Anderson and H K Bungay Imaging investigation of acute right iliac fossa pain Imaging, December 1, 2006; 18(4): 257 - 267. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R Subramaniam Acute appendagitis: emergency presentation and computed tomographic appearances. Emerg. Med. J., October 1, 2006; 23(10): e53 - e53. [Full Text] [PDF]
|
|
|
|
 |
|
 R. F. Thoeni and J. P. Cello CT Imaging of Colitis Radiology, September 1, 2006; 240(3): 623 - 638. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Sung, M. J. Callahan, and G. A. Taylor Clinical and Imaging Mimickers of Acute Appendicitis in the Pediatric Population Am. J. Roentgenol., January 1, 2006; 186(1): 67 - 74. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. K. Singh, D. A. Gervais, P. F. Hahn, P. Sagar, P. R. Mueller, and R. A. Novelline Acute Epiploic Appendagitis and Its Mimics RadioGraphics, November 1, 2005; 25(6): 1521 - 1534. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
