Table 1.
Clinical data of ten patients with epiploic appendagitis
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 |
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