A Case of Primary Epiploic Appendagitis

원발성 복막수염 1례

  • Ha, Tae Young (Department of Pediatrics, College of Medicine, Ulsan University) ;
  • Kim, Chi Kwan (Department of Pediatrics, College of Medicine, Ulsan University) ;
  • Jeong, Jin Young (Department of Pediatrics, College of Medicine, Ulsan University) ;
  • Lee, Jong Hwa (Department of Radiology, College of Medicine, Ulsan University)
  • 하태영 (울산대학교 의과대학 소아과학교실) ;
  • 김치관 (울산대학교 의과대학 소아과학교실) ;
  • 정진영 (울산대학교 의과대학 소아과학교실) ;
  • 이종화 (울산대학교 의과대학 진단방사선학교실)
  • Received : 2002.03.15
  • Accepted : 2002.05.02
  • Published : 2002.08.15

Abstract

Epiploic appendages are small, 0.5-5 cm long, peritoneal pouches containing small vessels and fat, located on the serous surface of the colon, from the cecum to the rectosigmoid junction. Pathologic states are rare in these appendages, the most frequent being is infarction either due to torsion or spontaneous. As a result of subsequent inflammatory reaction, the condition has been termed primary epiploic appendagitis. The condition is manifested by localized abdominal pain, which is often mistaken for appendicitis or diverticulitis and is usually diagnosed at surgery. With the aid of comtemporary imaging modalities, however, the diagnosis of epiploic appendagitis need no longer hinge on the pathologic specimen but may be established by the clinician. As this disorder recently has been demonstrated to be predominantly self-limited, laparotomy is no longer considered necessary. Conservative management has been shown to be safe. We report a 5-year-old male patient with epiploic appendagitis who presented with acute abdominal pain.

저자들은 급성 복통을 주소로 개인의원을 방문하여 급성 충수염이 의심되어 본원 응급실로 전원 된 5세 남아에서 초음파와 CT로 복막수염으로 진단하고 수술이나 항생제 치료 없이 자연 치유된 복막수염 1례를 보고하는 바이다.

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