Kolayl�kla atlanabilen bir antite olan epiploik apandisitin bilgisayarl� tomografi bulgular�: Olgu serisi ve literat�r�n g�zden ge�irilmesi

Ergelen, Rabia; Asadov, Ruslan; �zdemir, Burcu; Tureli, Derya; Demirba�, Baha Tolga; Tuney, Davut

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Kolayl�kla atlanabilen bir antite olan epiploik apandisitin bilgisayarl� tomografi bulgular�: Olgu serisi ve literat�r�n g�zden ge�irilmesi [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2017; 23(6): 489-494 | DOI: 10.5505/tjtes.2017.99894

Kolayl�kla atlanabilen bir antite olan epiploik apandisitin bilgisayarl� tomografi bulgular�: Olgu serisi ve literat�r�n g�zden ge�irilmesi

Rabia Ergelen¹, Ruslan Asadov¹, Burcu �zdemir¹, Derya Tureli¹, Baha Tolga Demirba�², Davut Tuney¹
¹Marmara �niversitesi T�p Fak�ltesi, Radyoloji Anabilim Dal�, �stanbul
²Marmara �niversitesi T�p Fak�ltesi, Genel Cerrahi Anabilim Dal�, �stanbul

AMA�: Primer epiploik apandisit (PEA) nadir g�r�len bir hastal�kt�r.
GERE� VE Y�NTEM: Bu yaz�da PEA tan�s� alan 45 hastan�n klinik verileri ve bilgisayarl� tomografi (BT) bulgular� geriye d�n�k olarak de�erlendirildi.
BULGULAR: Fizik muayene bulgular� ve a�r�n�n lokalizasyonuna g�re hastalar akut apandisit (n=13), akut kolesistit (n=2), akut diverk�lit (n=19), renal kolik (n=7) ve over patolojisi (n=4) �ntan�lar�n� ald�lar. Bu hastalara BT incelemesi sonucunda PEA tan�s� konuldu.
TARTI�MA: Primer epiploik apandisit patogonomik olmayan klinik ve laboratuvar bulgular�na sahiptir ve akut kar�n hastal�klar�n�n de�erlendirilmesinde ak�lda tutulmas� gereken bir klinik antitedir.

Anahtar Kelimeler: Apandisit, epiploik, tomografi.

Computed tomography findings of primary epiploic appendagitis as an easily misdiagnosed entity: Case series and review of literature

Rabia Ergelen¹, Ruslan Asadov¹, Burcu �zdemir¹, Derya Tureli¹, Baha Tolga Demirba�², Davut Tuney¹
¹Department of Radiology, Marmara University Faculty of Medicine, �stanbul-Turkey
²Department of General Surgery, Marmara University Faculty of Medicine, �stanbul-Turkey

BACKGROUND: Primer epiploic appendagitis (PEA) is an uncommon condition.
METHODS: We retrospectively reviewed the clinical records and computed tomography (CT) findings of 45 patients with PEA.
RESULTS: On the basis of physical examination and pain localization, presumptive clinical diagnosis was acute appendicitis (n=13), acute cholecystitis (n=2), acute diverticulitis (n=19), renal colic (n=7) and ovarian pathology (n=4).
CONCLUSION: Although it has no characteristic clinical and laboratory features, CT is the best modality for accurate diagnosis of PEA.

Keywords: Appendagitis, epiploic, tomography.

Rabia Ergelen, Ruslan Asadov, Burcu �zdemir, Derya Tureli, Baha Tolga Demirba�, Davut Tuney. Computed tomography findings of primary epiploic appendagitis as an easily misdiagnosed entity: Case series and review of literature. Ulus Travma Acil Cerrahi Derg. 2017; 23(6): 489-494

Sorumlu Yazar: Rabia Ergelen, T�rkiye
Makale Dili: �ngilizce

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