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Une cause rare d’abdomen aigu: l’appendagite épiploique
Primary epiploic appendagitis brings together torsions and primary inflammations of epiploic appendices. These pathological events are rare and, for a long period of time, have been exceptionally diagnosed in preoperative period. The progress of medical imaging allow, now, to avoid unnecessary surgi...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317389/ https://www.ncbi.nlm.nih.gov/pubmed/30637052 http://dx.doi.org/10.11604/pamj.2018.30.267.5563 |
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author | Nhamoucha, Yassine Bouabdellah, Youssef |
author_facet | Nhamoucha, Yassine Bouabdellah, Youssef |
author_sort | Nhamoucha, Yassine |
collection | PubMed |
description | Primary epiploic appendagitis brings together torsions and primary inflammations of epiploic appendices. These pathological events are rare and, for a long period of time, have been exceptionally diagnosed in preoperative period. The progress of medical imaging allow, now, to avoid unnecessary surgical interventions. We report the case of a 14-year old child who was admitted to hospital with left iliac fossa pain evolving over six days and gradually worsening. He didn’t suffer from transit disorders or associated urinary functional symptoms and he was afebrile. Abdominal palpation showed right iliac fossa tenderness. He was overweight with a BMI of 29. Laboratory tests didn’t show any inflammatory syndrome. Cytobacteriologic examination of the urine was negative. Abdominal x-ray without treatment didn’t show any hydroaeric level or calcification in urinary tract projections. CT scan objectified fat infiltration in the coeco-appendicular junction, with shuttle image containing fat surrounded by hyperdense ring, suggesting a torsion of the epiploic appendice. The child underwent symptomatic treatment with good clinical evolution. |
format | Online Article Text |
id | pubmed-6317389 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-63173892019-01-11 Une cause rare d’abdomen aigu: l’appendagite épiploique Nhamoucha, Yassine Bouabdellah, Youssef Pan Afr Med J Images in Medicine Primary epiploic appendagitis brings together torsions and primary inflammations of epiploic appendices. These pathological events are rare and, for a long period of time, have been exceptionally diagnosed in preoperative period. The progress of medical imaging allow, now, to avoid unnecessary surgical interventions. We report the case of a 14-year old child who was admitted to hospital with left iliac fossa pain evolving over six days and gradually worsening. He didn’t suffer from transit disorders or associated urinary functional symptoms and he was afebrile. Abdominal palpation showed right iliac fossa tenderness. He was overweight with a BMI of 29. Laboratory tests didn’t show any inflammatory syndrome. Cytobacteriologic examination of the urine was negative. Abdominal x-ray without treatment didn’t show any hydroaeric level or calcification in urinary tract projections. CT scan objectified fat infiltration in the coeco-appendicular junction, with shuttle image containing fat surrounded by hyperdense ring, suggesting a torsion of the epiploic appendice. The child underwent symptomatic treatment with good clinical evolution. The African Field Epidemiology Network 2018-08-08 /pmc/articles/PMC6317389/ /pubmed/30637052 http://dx.doi.org/10.11604/pamj.2018.30.267.5563 Text en © Yassine Nhamoucha et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Images in Medicine Nhamoucha, Yassine Bouabdellah, Youssef Une cause rare d’abdomen aigu: l’appendagite épiploique |
title | Une cause rare d’abdomen aigu: l’appendagite épiploique |
title_full | Une cause rare d’abdomen aigu: l’appendagite épiploique |
title_fullStr | Une cause rare d’abdomen aigu: l’appendagite épiploique |
title_full_unstemmed | Une cause rare d’abdomen aigu: l’appendagite épiploique |
title_short | Une cause rare d’abdomen aigu: l’appendagite épiploique |
title_sort | une cause rare d’abdomen aigu: l’appendagite épiploique |
topic | Images in Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317389/ https://www.ncbi.nlm.nih.gov/pubmed/30637052 http://dx.doi.org/10.11604/pamj.2018.30.267.5563 |
work_keys_str_mv | AT nhamouchayassine unecauseraredabdomenaigulappendagiteepiploique AT bouabdellahyoussef unecauseraredabdomenaigulappendagiteepiploique |