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급성복증으로 내원한 원발성 복막수염 1례

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Author(s)
주명돈최우익
Keimyung Author(s)
Choi, Woo Ik
Department
Dept. of Emergency Medicine (응급의학)
Journal Title
대한응급의학회지
Issued Date
2006
Volume
17
Issue
2
Abstract
Primary epiploic appendagitis (PEA) is an uncommon cause of acute abdominal pain that occurs either from appendageal torsion or spontaneous thrombosis of an appendageal vein. It is a benign condition that may present with peritoneal findings. Thus, it is rarely considered in the differential diagnosis of intra-abdominal disease. Until recently, an accurate diagnosis could not be made preoperatively. With the aid of contemporary imaging modalities, however, the diagnosis of PEA need no longer hinge on the pathologic specimen, but may be established by the emergency physician. Common findings include left lower quadrant pain and guarding.
Nonmigratory symptoms should also prompt the clinician to consider a CT scan in patients with similar signs and symptoms. Knowledge of this uncommonly diagnosed entity and its usual benign course may allow the emergency physician to order the appropriate studies to help avoid unnecessary surgical treatment. The anatomy, the clinical presentation, the radiologic evaluation, and the emergency management of epiploic appendagitis are reviewed with the literature.
Alternative Title
A Case of Primary Epiploic Appendagitis
Keimyung Author(s)(Kor)
최우익
Publisher
School of Medicine
Citation
주명돈 and 최우익. (2006). 급성복증으로 내원한 원발성 복막수염 1례. 대한응급의학회지, 17(2), 196–198.
Type
Article
ISSN
1226-4334
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38256
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
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