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A case of primary epiploic appendagitis of the sigmoid colon diagnosed by abdominal CT and managed conservatively

A case of primary epiploic appendagitis of the sigmoid colon diagnosed by abdominal CT and managed conservatively

Nihon Shokakibyo Gakkai Zasshi 109(5): 781-787

A 40-year-old man presented to our department with left lower abdominal pain. Laboratory test showed slight leukocytosis and moderately elevated C-reactive protein (CRP). Computed tomography (CT) of the abdomen showed a typical fat density lesion adjacent to the sigmoid colon. The diagnosis of primary epiploic appendagitis of the sigmoid colon was established, and the patient was managed conservatively. Primary epiploic appendagitis is a self-limiting illness, and diagnosed by characteristic radiographic findings. Inaccurate diagnosis can lead to unnecessary treatments including surgical intervention. When we encounter a case of acute abdomen, we should consider the possibility of this disease to make accurate diagnosis and give proper treatment.

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Accession: 051093069

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PMID: 22688104

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