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Clinical data of ten patients with epiploic appendagitis |
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| Patient Number |
Sex |
Age |
Site |
Temperature |
WBC (4.4–11.3/NL) |
CRP (< 0,5 MG/DL) |
Radiologic Diagnosis CT-Scan |
Radiologic Diagnosis Sonography |
Duration of Pain (days) |
Symptoms typically for |
Operative diagnosis |
Size (cm) |
Localisation |
Treatment |
|
|
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| 1 |
F |
42 |
RLQ |
37.5 |
9000 |
0.1 |
EA |
EA |
2 |
Acute appendicitis |
EA |
2 × 1.5 |
Caecum |
Laparoscopic Excision of the EA |
| 2 |
M |
35 |
LLQ |
37 |
7200 |
0.1 |
NPF |
NPF |
1 (recurrent pain one month before for 2 days) |
Diverticulitis |
EA |
2 × 3.5 |
Upper Sigmoid Colon |
Laparoscopic Excision of the EA |
| 3 |
M |
52 |
RLQ |
37.1 |
10.400 |
1.3 |
n.a. |
NPF |
4 |
Acute appendicitis |
EA |
2.5 × 5 |
Sigmoid Colon (Massive Elongated) reaching to the RIF |
Laparoscopic Excision of the EA |
| 4 |
F |
76 |
LLQ |
37.0 |
5700 |
1.5 |
Tumorlike thickening of the sigmoid colon wall, fat isodense, Liposarcoma DD: EA |
NPF |
3 |
Diverticulitis |
Adhesions of fat to the left inferior abdominal wall, EA torsion between the Adhesions |
2 × 4 |
Upper Sigmoid Colon |
Laparoscopic Excision of the EA |
| 5 |
M |
40 |
LLQ |
37.3 |
11.400 |
0.2 |
EA |
NPF |
2 (recurrent pain one month before for 3 days) |
Diverticulitis |
Adhesions of the distal Colon descendens to the abdominal wall. EA torsion between the Adhesions. |
1 × 1 |
Upper-Sigmoid Colon |
Laparoscopic Excision of the EA |
| 6 |
F |
75 |
LLQ |
37.1 |
6200 |
0.4 |
Bilateral Ovarial Cancer |
Abdominal mass |
3 |
Bilateral Ovarial Cancer |
Ovarian Cancer and EA |
2 × 1.5 |
Sigmoid Colon |
Excision of the Ovarial Cancer and the EA |
| 7 |
M |
34 |
LLQ |
37.2 |
9400 |
0.9 |
EA |
EA |
2 (recurrent pain one month before for 1 day) |
Diverticulitis |
EA |
n.a. |
Sigmoid Colon |
Laparoscopic Excision of the EA |
| 8 |
M |
27 |
LLQ |
36.9 |
8300 |
0.5 |
n.a. |
EA |
1 |
EA |
n.a. |
2.5 × 4 |
n.a. |
Conservative Therapy |
| 9 |
M |
28 |
LLQ |
37.3 |
10900 |
0.5 |
EA |
NPF |
2 (recurrent pain one and two months before for 2 days) |
EA |
EA |
1.5 × 4.5 |
Upper Sigmoid Colon |
Laparoscopic Excision of the EA |
| 10 |
M |
37 |
LLQ |
37.2 |
7600 |
0.4 |
EA |
NPF |
3 |
Diverticulitis |
EA |
2 × 3 |
Descending Sigmoid Colon |
Laparoscopic Excision of the EA |
|
Legend: Site = site of the pain; WBC = white blood cell count prior to surgery; EA = Epiploic appendagitis; RLQ = right lower quadrant; LLQ = left lower quadrant; NPF = no pathological finding; n.a. = not available | ||||||||||||||
Sand et al. BMC Surgery 2007 7:11 doi:10.1186/1471-2482-7-11 |
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