Keywords:
Abdomen, Gastrointestinal tract, Emergency, CT, Complications, Inflammation
Authors:
P. Carcione, G. Lo Re, G. Maniaci, G. Carcione, M. C. Galfano, M. Galia, G. La Tona, S. Salerno, M. Midiri; Palermo/IT
DOI:
10.1594/ecr2013/C-0597
Methods and Materials
Seven patients (2 females,
5 males; range 12 to 60 years) with acute abdominal pain were included in our study.
All patients underwent MDCT scan (16 rows for 4 patients and 128 rows for 3 patients) before and after iodinated contrast medium administration (320 mgI\ml).
Images were evaluated at dedicated work-station using axial images and multi-planar reconstructions (MPR).
The CT scans of the epiploic appendagitis were evaluated for a focal fatty center, the presence of colon wall thickening,
inflammatory changes,
location in relationship to the colon,
size and presence or absence of central high density within the fat.
Six patients were managed conservatively with oral FANS and antibiotics and recovered in about 10 days.
One patient showed an abscess diagnosed as a complicated PEA after surgery