Torsion of an epiploic appendix is a rare surgical entity. Doctors give unbiased, helpful information on indications, contraindications, benefits, and complications. They have a propensity to twist, which may cutoff its blood supply and cause acute pain. Epiploic definition and meaning collins english dictionary. Have you ever seen pouches of fat on a piece of steak. This article pertains to primary spontaneous epiploic appendagitis. Appendices definition and meaning collins english dictionary. Primary epiploic appendagitis pea, also known as epiploic appendicitis, acute hemorrhagic epiploitis, fatty pericolitis or pericolic infarction, is an inflammatory process that affects the eas. The incidence of epiploic appendagitis has been reported to be up to four times higher in men as compared with women.
This means it goes away on its own without treatment. This is a selflimiting condition that does not require any. The epiploic appendices or appendices epiploicae, or epiploic appendages, or appendix epiploica, or omental appendices are small pouches of the peritoneum filled with fat and situated along the colon, but are absent in the rectum. Again, epiploic appendages are small fatfilled projections, pouches or globules attached to the external surface of the colon via a vascular stalk like a stem with a. You can kind of think of these as epiploic appendages, or appendices epiploicae, except found on the external surface of. Determine the other name for epiploic appendages learn whether a twisted or blocked epiploic. Alternate terms for epiploic appendagitis include appendicitis epiploica, or simply appendagitis. Its often mistaken for other conditions, such as diverticulitis or appendicitis. These are small pouches of peritoneum which is filled with fat and is located along the colon. This is a report of this rare entity found in a patient upon diagnostic laparoscopy performed for suspected. Epiploic appendagitis clinical characteristics of an.
Parenchyma a direct greek borrowing signifying that which is poured in from an ancient and erroneous belief that the solid organs of the abdomen got that way by the blood being poured into them and then congealing there. Pylorus comes directly from the greek word for gatekeeper. Experts consider epiploic appendagitis to be a selflimiting disease, which means that the inflammation remains in one place. When combined with educational content written by respected scholars across the curriculum, mylab accounting helps deliver the learning outcomes that students and instructors aspire to. They are chiefly appended to the transverse and sigmoid parts of the colon, however, their function is unknown. The first section of the large intestine, the cecum, is the largest dilatation of the alimentary tract occupying most of the ventral abdominal cavity and is known for its. However, if the appendix is normal at surgery, the surgeon. Appendices epiploicae medical definition merriamwebster. The diagnosis of ea is very infrequent, due in part to low or absent awareness among general surgeons. There were 19 patients diagnosed with ea, with followup performed on 85%. The anatomy of the human peritoneum and abdominal cavity. Learn more about how mylab accounting helps students succeed. Epiploic appendices definition of epiploic appendices by.
A rare cause of acute right iliac fossa pain ganapathy iyer,1 vuthaluru seenu,1 akhil bhat,1 mc sharma,2 rebecca mathew,2 gpn verma2 abstract acute appendicitis is the most common cause of right iliac fossa pain. Clinical characteristics of primary epiploic appendagitis. Although appendices is part of the term, the epiploic appendices appendages are not the appendix. Epiploic appendages article about epiploic appendages by. An epiploic appendage of the sigmoid colon is considered to be an unusual type of inguinal hernia content. Generally accepted accounting principles gaap definition. Surgery epiploic appendagitis answers on healthtap. Its unusual symptomatology, wide variation in physical findings and the absence of helpful laboratory and radiological studies makes it very difficult to diagnose preoperatively. Acute epiploic appendagitis is an uncommon cause of abdominal pain. Etymology of abdominal visceral terms dartmouth college. Epiploic appendices article about epiploic appendices by. Etymology of abdominal visceral terms with particular thanks to jack lyons, md.
Epiploic appendages definition of epiploic appendages by. Like ea, acute appendicitis is an inflammatory condition, but it affects the appendix. Synonyms for epiploic appendages in free thesaurus. Dictionary grammar blog school scrabble thesaurus translator quiz more resources more from collins. I do this laparoscopically as an outpatient, but if the. Epiploic appendages synonyms, epiploic appendages antonyms. Epiploic appendagitis is a rare condition that causes intense stomach pain. Ta one of a number of little processes or sacs of peritoneum filled with adipose tissue and projecting from the serous coat of the large intestine, except the rectum. Abstract acute epiploic appendagitis, caused by torsion, inflammation and necrosis of an appendix epiploica, is a rare clinical entity that can be easily misdiagnosed as acute appendicitis or diverticulitis. It can be misinterpreted as appendicitis or even cholecystitis. An epiploic appendage may undergo torsion and secondary inflammation, causing focal abdominal pain that simulates appendicitis when located in the right lower quadrant. Post the definition of epiploic to facebook share the definition of epiploic on twitter. Something added or attached to an entity of greater importance or size.
We present a case of an 81yearold female patient with severe cardiovascular comorbidities who was urgently admitted after an episode of strangulation and subsequent spontaneous. It can mimick diverticulitis or appendicitis on clinical exam. It happens when you lose blood flow to very small pouches of fat that are situated over the colon, or large intestine. Epiploic appendagitis, also referred to as appendicitis epiploica or epiplopericolitis is the inflammation or torsion of one or a couple of the hundred or so small protrusions of fatty tissue on the outside wall of the large intestine or colon. The large intestine does not contain any epiploic appendices, sigmoid colon, or vermiform appendix and it is approximately 7075 cm in length cooper and schiller, 1975. Epiploic appendix an overview sciencedirect topics.
In general, pea is a selflimiting disease, and most patients recover with conservative management in. Definitions of appendix epiploica, synonyms, antonyms, derivatives of appendix epiploica, analogical dictionary of appendix epiploica english. Its often mistaken for other conditions, such as diverticulitis or appendicitis it happens when you lose blood flow. Epiploic appendagitis is a selflimiting disease that has been reported in approximately 1% of patients clinically suspected of having appendicitis 5. A fingerlike projection of fat attached to the colon. Ultrasound and ct scans are the normal means of positive diagnosis of epiploic appendagitis. It could be epiploic appendagitis, which is often mistaken for appendicitis due to its.
Epiploic appendagitis ea is a rare cause of acute abdominal pain caused by inflammation of an epiploic appendage. Epiploic appendagitis can arise in any segment of the colon. Epiploic appendices are teardrop shaped projections of fat that are attached to the outer wall of the large intestine. Epiploic appendagitis is a rare selflimiting inflammatoryischemic process involving an appendix epiploica of the colon and may either be primary or secondary. Epiploic appendagitis ea is a rare cause of focal abdominal pain in otherwise healthy patients with mild or absent secondary signs of abdominal pathology. Mylab accounting is the teaching and learning platform that empowers you to reach every student. Epiploic appendages synonyms, epiploic appendages pronunciation, epiploic appendages translation, english dictionary definition of epiploic appendages. Generally accepted accounting principles gaap are a common set of accounting principles, standards and procedures that companies must follow. The strangulation of a sigmoid colon appendage into a right inguinal hernia is exclusively rare. Epiploic medical definition merriamwebster medical. It has a nonspecific clinical presentation that may mimic other acute abdominal pathologies on physical exam, such as appendicitis, diverticulitis, or cholecystitis.
Every year on the fourteenth of february the world celebrates the idea of love. Epiploic appendagitis is a rare selflimiting inflammatoryischemic process involving an appendix epiploica of the colon and may either be primary or secondary to adjacent pathology. Epiploic appendagitis is a pathological condition arising out of the abdominal region which is characterized by inflammation at the level of the epiploic appendices. This website is intended for pathologists and laboratory personnel, who understand that medical information is imperfect and must be interpreted using reasonable medical judgment. The term along with omental infarction is grouped under the broader umbrella term intraperitoneal focal fat infarction 9. It may mimic surgical causes of acute abdominal pain, but is treated conservatively with pain management. Its just a twisted piece of fat that normally lies along the bowel. Doctor answers on symptoms, diagnosis, treatment, and more. Epiploic appendagitis causes, diagnosis and treatment. Members of the medical community, however, limit the use of the aforementioned terms because they can be confused with acute appendicitis. The epiploic appendices are small pouches of the peritoneum filled with fat and situated along the colon, but are absent in the rectum. Primary epiploic appendagitis is a very rare condition that results from acute inflammation of an epiploic appendix. If you look up love in collins english dictionary, you will find the word defined as an intense emotion of affection, warmth, fondness, and regard towards a person or thing. Our aim was to demonstrate the imaging characteristics of epiploic appendages in native, acute inflamedischemic and postinfarcted states through retrospective imaging analysis, with clinical and pathologic correlation, and to discuss clinical implications.
Ea is a disease caused by inflammation of the appendix epiploica, subserosal adipose tissue along the colon. Aeaa is an even extremely rare form of aea accounting for only 3% of all aea cases. Torsion of an epiploic appendix pretending as acute. Epiploic appendagitis ea is an uncommon, benign, selflimiting inflammatory process of the. It is caused by torsion of an epiploic appendage or spontaneous venous thrombosis of a. Information and translations of epiploic in the most comprehensive dictionary definitions resource on the web. Acute epiploic appendagitis at the tip of the appendix mimicking.