AI Article Synopsis

  • A late 20s female patient experienced severe pain in the upper abdomen, prompting concern for possible gastrointestinal perforation.
  • A CT scan revealed perigastric appendagitis, a rare condition that can cause significant abdominal pain.
  • The patient was successfully treated with pain medication, did not need surgery, and was discharged the following day.

Article Abstract

A patient in her late 20s presented with severe epigastric pain. A CT scan of the abdomen and pelvis was performed to exclude an upper gastrointestinal perforation. This showed findings of perigastric appendagitis. This is a rare cause of severe upper abdominal pain. The patient was treated with oral and intravenous analgesia medication and discharged the next day. No surgical intervention was required.

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Source
http://dx.doi.org/10.1136/bcr-2023-256783DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10749118PMC

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Article Synopsis
  • A late 20s female patient experienced severe pain in the upper abdomen, prompting concern for possible gastrointestinal perforation.
  • A CT scan revealed perigastric appendagitis, a rare condition that can cause significant abdominal pain.
  • The patient was successfully treated with pain medication, did not need surgery, and was discharged the following day.
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Peri-gastric appendagitis with lesser omentum hemorrhagic infarction: US, CT, and MRI findings of a rare entity.

J Clin Ultrasound

September 2023

Department of Radiological Sciences, Oncology and Anatomical Pathology, Sapienza University of Rome-Academic Diagnostic Imaging Division, I.C.O.T. Hospital, Latina, Italy.

Peri-gastric appendagitis followed associated with gastro-hepatic ligament/lesser omentum hemorrhagic infarction has not been well investigated yet. With an accurate radiological diagnosis of peri-gastric appendagitis, even in case of hemorrhagic infarction, the patient can receive supportive measures for the self-limited pain and can forgo surgery, endoscopy, and further invasive testing.

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The term intraperitoneal focal fat infarction (IFFI) includes various self-limiting clinical conditions that are caused by focal fatty tissue necrosis. Most of the cases of IFFI concern torsion or infarction of the greater omentum or the epiploic appendages. However, although rarely, perigastric ligaments can also undergo torsion also leading to fat infarction.

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Aim: To describe perigastric appendagitis (PA) on CT as a new and distinct clinical entity to enable recognition and prevent additional unnecessary investigation or intervention.

Materials And Methods: Institutional review board approval was obtained and informed consent was waived. Retrospective review of the clinical data and CT findings in eight patients with PA encountered over 10 years at one institution was performed.

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