Category |
Gastroenterology & Hepatology |
Manuscript Type |
Autobiography |
Article Title |
Differential diagnosis of left-sided abdominal pain: Primary epiploic appendagitis vs colonic diverticulitis
|
Manuscript Source |
Invited Manuscript |
All Author List |
Jeong Ah Hwang, Sun Moon Kim, Hyun Jung Song, Yu Mi Lee, Kyung Min Moon, Chang Gi Moon, Hoon Sup Koo, Kyung Ho Song, Yong Seok Kim, Tae Hee Lee, Kyu Chan Huh, Young Woo Choi, Young Woo Kang and Woo Suk Chung |
Funding Agency and Grant Number |
|
Corresponding Author |
Sun Moon Kim, MD, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, 685 Gasuwon-dong, Seo-gu, Daejeon 302-718, South Korea. ismkim@kyuh.ac.kr |
Key Words |
Acute abdomen; Differential diagnosis; Appendix epiploica; Colonic diverticulitis; Multidetector computed tomography |
Core Tip |
The clinical symptoms of primary epiploic appendagitis (PEA) and acute colonic diverticulitis (ACD) are similar in patients presenting with left-sided abdominal pain. In our study, the patients with PEA had well-localized abdominal tenderness, whereas those with ACD presented with slightly diffuse abdominal tenderness. The patients with ACD showed fever, rebound tenderness, and leukocytosis more often than those with PEA. When patients have well-localized abdominal tenderness without associated systemic manifestation or laboratory abnormalities, clinicians should suspect a diagnosis of PEA and consider a computer tomography (CT) scan. The characteristic CT findings of PEA may enable clinicians to accurately diagnose the disease. |
Publish Date |
2013-11-13 08:37 |
Citation |
Hwang JA, Kim SM, Song HJ, Lee YM, Moon KM, Moon CG, Koo HS, Song KH, Kim YS, Lee TH, Huh KC, Choi YW, Kang YW, Chung WS. Differential diagnosis of left-sided abdominal pain: Primary epiploic appendagitis vs colonic diverticulitis. World J Gastroenterol 2013; 19(40): 6842-6848 |
URL |
http://www.wjgnet.com/1007-9327/full/v19/i40/6842.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v19.i40.6842 |