Epiploic appendagitis is a rare andnot so well knowncauseofacute non-surgical abdomen. At the emergency department, these patients complain about abdominal pain, sometimes accompanied by nausea or vomiting, but without transit disorders or biological inflammatory syndrome (without hyperleukocytosis). The patient also may have a low-grade fever. The clinical signsmimicanacute surgical abdomen: eg. appendicitisordiverticulitisofthe ascending colonif the pain islocatedonthe right side, andthe diverticulitis of descending or sigmoid colon ifthe painoccursonthe leftside. The purpose of thisposteris to present theradiologicalsigns, especiallyCT scan signs (characteristicsigns)that appearinepiploic appendagitis in orderto avoidinadequate...

Epiploicappendices, also known as epiploicae appendices,aresmall, ovoid, fat-filled sacs or finger-like projection, covered by the peritoneum,with avariable length,between 0.5 and 5cm(mean3 cm),and 1 to 2 cm thick (Fig.1). They are arranged in two separate longitudinal rows next to the anterior and posterior tenia coli over the external aspect of the colon and hang into the peritoneal cavity. Although the total number of epiploic appendages on the colon is about 100, the size and number increase in the lower abdominal quadrants (57% are located on the...

Our population Our study takes into account on a population of five patients (3 men and 2 women, age range 22-42 years) presented at the emergency department, three with left flank pain and two with right flank pain. All of them have passed an enhanced CT scan and one of them has passed also an abdominal ultrasound exam. Two patients had a discreet inflammatory syndrome (CRP increased at 57, respective 97), and the others had a normally laboratory results. Only one patient presented a low...

Appendagitisis responsible foranacuteabdominalfindings anddiagnosticdifficulties. Nonspecificsymptomsof this diseasecaneasily lead toconfusionwithappendicitis, renal colicordiverticulitis. Thislocalizedpain requires implementation of imagingexaminationssuch as ultrasoundandCT scan,whichwillconfirm the diagnosis. Knowledge ofthis entity andtheclinical findingsis necessaryinthediagnosticapproach ofacuteabdomen. Oncediagnosticestablish, treatment issimpleandis done inambulatory. Complicationsof this pathologyarerare. Epiploic appendagitis is arare butnotexceptionalpathology.

Alina Coroliuc, MD PGY5 Radiology Resident Centre Hospitalier de Charleville-Mezieres 45, Avenue de Manchester - B.P.10900 08011 Charleville-Mezieres Cedex, France [email protected], [email protected]

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