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Query: UMLS:C0042963 (vomiting)
 31,883 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Epiploic appendagitis is an inflammation of the epiploic appendage in which the small sacs projecting from the serosal layer of the colon are positioned longitudinally from the caecum to the rectosigmoid area. Epiploic appendagitis is rare and self-limiting; however, it can cause sudden abdominal pain in children. Epiploic appendagitis does not typically accompany other gastrointestinal diseases. Here, we report on a healthy eight-year-old girl who presented with abdominal pain, fever, vomiting, and diarrhea. Based on these symptoms, she was diagnosed with acute gastroenteritis, but epiploic appendagitis in the ascending colon was revealed in contrast computed tomography (CT). The patient was treated successfully with conservative management. CT is beneficial in diagnosis and further assessment of epiploic appendagitis. Pediatricians need to be aware of this self-limiting disease and consider it as a possible alternate diagnosis in cases of acute abdominal pain.
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PMID:A case of epiploic appendagitis with acute gastroenteritis. 2558 27

Epiploic appendagitis is a benign self-limiting inflammation of the appendices epiplocae of the colon. It often presents as abdominal pain rarely accompanied by fever, nausea, or vomiting or any other abdominal symptoms. It can mimick acute diverticulitis or appendicitis on clinical exam. The diagnosis of epiploic appendagitis primarily relies on imaging modalities such as CT. The treatment is analgesia and non-steroidal anti-inflammatory drugs are usually sufficient to control pain and no surgical intervention is needed. This report illustrates two cases with epiploic appendagitis who presented with atypical symptoms, clinical and radiological findings and management of this condition.
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PMID:Atypical Presentations of Epiploic Appendagitis: Early Diagnosis and Non-Operative Management is the Optimal Therapy. 2778 86

Epiploic appendagitis or appendices epiploicae, is a rare cause of abdominal pain in patients with mild signs of abdominal pathology. It mimics diverticulitis or appendicitis clinically as there are no pathognomonic features. It is a surgical diagnosis presenting with localised, sharp, acute abdominal pain, not associated with symptoms like nausea, vomiting, fever or suggestive laboratory values. With the availability of abdominal CT scans and ultrasound, it will frequently be a differential diagnosis preventing unnecessary surgery for patients. However, it may be erroneous and therefore clinical judgement is of paramount importance. This report highlights this rare presentation and identifies management guidelines.
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PMID:Epiploic Appendagitis: An uncommon surgical diagnosis. 2847 79