Does primer appendagitis epiploica require surgical intervention?

Ulus Travma Acil Cerrahi Derg. 2020 Nov;26(6):883-886. doi: 10.14744/tjtes.2020.09693.

Abstract

Background: Although primer appendagitis epiploica (PAE) is an acute condition, there is no consensus about a standard first-choice treatment. Different non-surgical and surgical interventions for PAE are available.

Methods: In this study, a total of 39 patients who were diagnosed as PAE between 2013-2018 were evaluated retrospectively concerning recurrences of the disease, medical intervention, and the requirement of hospitalization. USG and abdominal CT were used as diagnostic tools. Patients were also evaluated for a one-month and long-term follow-up.

Results: Of the 39 patients, 29 were male and 10 were female. Recurrence was seen in three patients at the earliest six months. These patients responded to medical treatment.

Conclusion: Accurate diagnosis with the help of developing imaging methods has made non-surgical treatment a viable option in the treatment of PAE.

MeSH terms

  • Acute Disease
  • Adult
  • Colitis* / diagnosis
  • Colitis* / pathology
  • Colitis* / therapy
  • Digestive System Surgical Procedures*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Recurrence
  • Retrospective Studies