Annals of Coloproctology

Display

Sort by :

Original Articles

Benign diesease & IBD,Rare disease & stoma

Determining the etiology of small bowel obstruction in patients without intraabdominal operative history: a retrospective study: Youngjin Jang, Sung Min Jung, Tae Gil Heo, Pyong Wha Choi, Jae Il Kim, Sung-Won Jung, Heungman Jun, Yong Chan Shin, Eunhae Um; Ann Coloproctol. 2022;38(6):423-431. Published online December 8, 2021; DOI: https://doi.org/10.3393/ac.2021.00710.0101

8,906 View
186 Download
5 Web of Science
6 Citations

Purpose
Most of the causes of small bowel obstruction (SBO) in patients without a history of abdominal surgery are unclear at initial assessment. This study was conducted to identify the etiology and clinical characteristics of SBO in virgin abdomens and discuss the proper management.
Methods
A retrospective review involving operative cases of SBO from a single institute, which had no history of abdominal surgery, was conducted between January 2010 and December 2020. Clinical information, including radiological, operative, and pathologic findings, was investigated to determine the etiology of SBO.
Results
A total of 55 patients were included in this study, with a median age of 57 years and male sex (63.6%) constituting the majority. The most frequently reported symptoms were abdominal pain and nausea or vomiting. Neoplasm as an underlying cause accounted for 34.5% of the cases, of which 25.5% were malignant cases. In patients aged ≥60 years (n=23), small bowel neoplasms were the underlying cause in 12 (52.2%), of whom 9 (39.1%) were malignant cases. Adhesions and Crohn disease were more frequent in patients aged <60 years. Coherence between preoperative computed tomography scans and intraoperative findings was found in 63.6% of the cases.
Conclusion
There were various causes of surgical cases of SBO in virgin abdomens. In older patients, hidden malignancy should be considered as a possible cause of SBO in a virgin abdomen. Patients with symptoms of recurrent bowel obstruction who have no history of prior abdominal surgery require thorough medical history and close follow-up.

Citations

Citations to this article as recorded by

Outcomes of Small Bowel Obstruction in Patients With No Prior Surgery: A Systematic Review
Kyle D. Klingbeil, Ami Hayashi, Erik Balians, Robert E. Johnson, Edward Livingston
Journal of Surgical Research.2026; 319: 185. CrossRef
Outcomes of small bowel obstruction management in previously unoperated patients with a mid-term follow-up: a retrospective cohort study
Liis Jaanimäe, Urmas Lepner, Ülle Kirsimägi, Virve Saarevet, Ceith Nikkolo
BMC Surgery.2026;[Epub] CrossRef
Mesothelial cell responses to acute appendicitis or small bowel obstruction reactive ascites: Insights into immunoregulation of abdominal adhesion
Melissa A. Hausburg, Kaysie L. Banton, Christopher D. Cassidy, Robert M. Madayag, Carlos H. Palacio, Jason S. Williams, Raphael Bar-Or, Rebecca J. Ryznar, David Bar-Or, Eliseo A. Eugenin
PLOS ONE.2025; 20(1): e0317056. CrossRef
Spontaneous Right-Sided Diaphragmatic Hernia: A Rare Cause of Small Bowel Obstruction
Phoebe Douzenis, Ali Yasen Y Mohamedahmed, Sreekanth Sukumaran, Zbigniew Muras, Najam Husain
Cureus.2024;[Epub] CrossRef
Small bowel obstruction on food impaction after binge eating
E Van Eecke, L Crapé, I Colle
Acta Gastro Enterologica Belgica.2024; 87(3): 427. CrossRef
Colonic pseudo-obstruction in a patient with dyssynergic defecation: A case report
Yejun Jeong, Yongjae Kim, Wonhyun Kim, Seoyeon Park, Su-Jin Shin, Eun Jung Park
International Journal of Surgery Case Reports.2022; 98: 107524. CrossRef

Benign GI diease

The Management of Retained Rectal Foreign Body: Ju Hun Kim, Eunhae Um, Sung Min Jung, Yong Chan Shin, Sung-Won Jung, Jae Il Kim, Tae Gil Heo, Myung Soo Lee, Heungman Jun, Pyong Wha Choi; Ann Coloproctol. 2020;36(5):335-343. Published online January 31, 2020; DOI: https://doi.org/10.3393/ac.2019.10.03.1

17,459 View
242 Download
5 Web of Science
7 Citations

Abstract PDF

Purpose
Because insertion of a foreign body (FB) into the anus is considered a taboo practice, patients with a retained rectal FB may hesitate to obtain medical care, and attending surgeons may lack experience with removing these FBs. We performed this study to evaluate the clinical characteristics of Korean patients with a retained rectal FB and propose management guideline for such cases based on our experience.
Methods
We retrospectively investigated 14 patients between January 2006 and December 2018. We assessed demographic features, mechanism of FB insertion, clinical course between diagnosis and management, and outcomes.
Results
All patients were male (mean age, 43 years) and presented with low abdominal pain (n = 2), anal bleeding (n = 2), or concern about a retained rectal FB without symptoms (n = 10). FB insertion was most commonly associated with sexual gratification or anal eroticism (n = 11, 78.6%). All patients underwent general anesthesia for anal sphincter relaxation with the exception of 2 who underwent FB removal in the emergency department. FBs were retrieved transanally using a clamp (n = 2), myoma screw (n = 1), clamp application following abdominal wall compression (n = 2), or laparotomy followed by rectosigmoid colon milking (n = 2). Colotomy and primary repair were performed in four patients, and Hartmann operation was performed in one patient with fecal peritonitis. No morbidity or mortality was reported. All patients refused postextraction anorectal functional and anatomical evaluation and psychological counseling.
Conclusion
Retained rectal FB is rare; however, colorectal surgeons should be aware of the various methods that can be used for FB retrieval and the therapeutic algorithm applicable in such cases.

Citations

Citations to this article as recorded by

A Perilous Plunge: A Unique Case of Rectal Foreign Body
Shehzadi Rimsha, Danish Aslam, Subas Ali, Shehanshah Muhammed Arqam, Ayesha Kausar
Cureus.2025;[Epub] CrossRef
Combined laparoscopic and endoscopic method for foreign body removal from descending colon: A case report
Khairunnisa Che Ghazali, Huzairi Yaacob, Ahmad Shanwani Mohamed Sidek
World Journal of Surgical Procedures.2024; 14(1): 1. CrossRef
Minimally invasive techniques as adjuncts in low- versus high-lying retained rectal foreign bodies of autoerotic nature in young men: a tailored management algorithm with two contrasting case reports from India
Shubham Kumar Gupta, Vivek Kumar Katiyar, Sumit Sharma, Shashi Prakash Mishra, Satyanam Kumar Bhartiya
Journal of Trauma and Injury.2024; 37(3): 238. CrossRef
Rectal foreign body of a cosmetic bottle treated successfully by transanal retrieval: A case report
Congcong Liu, Yuantao Li
Medicine.2024; 103(47): e40651. CrossRef
Caring for a patient with a rectal foreign body
Sophia Parsh, Hyun Ah “Esther” Oh, Bridget Parsh
Nursing.2023; 53(9): 11. CrossRef
Proposal of an algorithm for the management of rectally inserted foreign bodies: a surgical single-center experience with review of the literature
Stefan Fritz, Hansjörg Killguss, André Schaudt, Christof M. Sommer, Götz M. Richter, Sebastian Belle, Christoph Reissfelder, Steffan Loff, Jörg Köninger
Langenbeck's Archives of Surgery.2022; 407(6): 2499. CrossRef
Deodorant aerosol spray can in the rectum: a potential fire hazard during surgery
Sivaraman Kumarasamy, Lileswar Kaman, Azhar Ansari, Amarjyoti Hazarika
BMJ Case Reports.2021; 14(5): e241538. CrossRef

The Outcomes of Management for Colonoscopic Perforation: A 12-Year Experience at a Single Institute: Jung Yun Park, Pyong Wha Choi, Sung Min Jung, Nam-Hoon Kim; Ann Coloproctol. 2016;32(5):175-183. Published online October 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.5.175

8,390 View
88 Download
15 Web of Science
17 Citations

Abstract PDF

Purpose

Optimal management of colonoscopic perforation (CP) is controversial because early diagnosis and prompt management play critical roles in morbidity and mortality. Herein, we evaluate the outcomes and clinical characteristics of patients with CP according to treatment modality to help establish guidelines for managing CP.

Methods

Our retrospective analysis included 40 CP patients from January 1, 2003, to December 31, 2014. Patients with CP were categorized into 2 groups according to therapeutic modality: operation (surgery) and nonoperation (endo-luminal clip application or conservative treatment) groups.

Results

The postoperative morbidity rate was 40%, and no mortalities were noted. The incidence of abdominal pain and tenderness in patients who received only conservative management was significantly lower than in those who underwent surgery (P < 0.001 and P = 0.004, respectively). Patients tended to undergo surgery more often for diagnosis times longer than 24 hours and for diagnostic CPs. The mean hospital stays for the operation and nonoperation groups were 14.6 ± 7.77 and 5.9 ± 1.62 days, respectively (P < 0.001). Compared to the operation group, the nonoperation group began intake of liquid diets significantly earlier after perforation (3.8 ± 1.32 days vs. 5.6 ± 1.25 days, P < 0.001) and used antibiotics for a shorter duration (4.7 ± 1.29 days vs. 8.7 ± 2.23 days, P < 0.001).

Conclusion

The time of diagnosis and the injury mechanism may be useful indications for conservative management. Nonoperative management, such as endo-luminal clip application, might be beneficial, when feasible, for the treatment of patients with CP.

Citations

Citations to this article as recorded by

Addressing current limitations of colonoscopy for colorectal cancer screening
Aastha Bharwad, Eric Yoon, Brooks D. Cash
Expert Review of Gastroenterology & Hepatology.2026; 20(2): 107. CrossRef
Surgical Decision-Making in Colonoscopic Perforation: Predictors and Optimal Timing of Intervention in a 20-Year Single-Center Cohort
Seung Hun Lee, Jae Hyun Kim, Yeajin Moon, Song Hyun Lee, Seung Hyun Lee, Byung Kwon Ahn, Seun Ja Park
Digestive Diseases and Sciences.2026;[Epub] CrossRef
Risk Factors for Perforation in Endoscopic Treatment for Early Colorectal Cancer: A Nationwide ENTER-K Study
Ik Hyun Jo, Hyun Gun Kim, Young-Seok Cho, Hyun Jung Lee, Eun Ran Kim, Yoo Jin Lee, Sung Wook Hwang, Kyeong-Ok Kim, Jun Lee, Hyuk Soon Choi, Yunho Jung, Chang Mo Moon
Gut and Liver.2025; 19(1): 95. CrossRef
Cold Versus Hot Endoscopic Mucosal Resection for ≥15 mm Large Nonpedunculated Colorectal Polyps
Sneh Sonaiya, Dushyant S. Dahiya, Raj Patel, Shahryar Khan, Charmy Parikh, Karan Yagnik, Chun-Han Lo, Kyaw Min Tun, Pranav D. Patel, Bradley Confer, Harshit S. Khara, Sumant Inamdar, Babu P. Mohan
Journal of Clinical Gastroenterology.2025;[Epub] CrossRef
Luminal electrophysiological neuroprofiling system for gastrointestinal neuromuscular diseases
Shriya S. Srinivasan, Sabrina Liu, Ryo Hotta, Sukhada Bhave, Amro Alshareef, Binbin Ying, George Selsing, Johannes Kuosmanen, Keiko Ishida, Joshua Jenkins, Wiam Abdalla Mohammed Madani, Alison Hayward, Niora Fabian, Allan M. Goldstein, Giovanni Traverso
Device.2024; 2(7): 100400. CrossRef
Laparoscopic versus open surgery for colonoscopic perforation: A systematic review and meta-analysis
Wu Zhong, Chuanyuan Liu, Chuanfa Fang, Lei Zhang, Xianping He, Weiquan Zhu, Xueyun Guan
Medicine.2023; 102(24): e34057. CrossRef
Analysis of the Characteristics of Colonoscopy Perforation and Risk Factors for Failure of Endoscopic Treatment
Zhi Jiehua, Ali Kashif , Che YaoSheng , Sun YunYun , Liang Lanyu
Cureus.2022;[Epub] CrossRef
Iatrogenic colon perforation during colonoscopy, diagnosis/treatment, and follow-up processes: A single-center experience
Nihat Gülaydın, Raim İliaz, Atakan Özkan, A Hande Gökçe, Hanifi Önalan, Berrin Önalan, Aziz Arı
Turkish Journal of Surgery.2022; 38(3): 221. CrossRef
The analysis of outcomes of surgical management for colonoscopic perforations: A 16-years experiences at a single institution
Dae Ro Lim, Jung Kul Kuk, Taehyung Kim, Eung Jin Shin
Asian Journal of Surgery.2020; 43(5): 577. CrossRef
Multicenter retrospective evaluation of ileocecocolic perforations associated with diagnostic lower gastrointestinal endoscopy in dogs and cats
Vanessa L. Woolhead, Jacqueline C. Whittemore, Sarah A. Stewart
Journal of Veterinary Internal Medicine.2020; 34(2): 684. CrossRef
Clinical Characteristics of Colonoscopic Perforation and Risk Factors for Complications After Surgical Treatment
Liang Li, Bing Xue, Chunxia Yang, Zhongbo Han, Hongqiang Xie, Meng Wang
Journal of Laparoendoscopic & Advanced Surgical Techniques.2020; 30(11): 1153. CrossRef
ESTUDO RETROSPECTIVO DA PREVALÊNCIA DE PERFURAÇÕES GASTROINTESTINAIS EM PACIENTES SUBMETIDOS A COLONOSCOPIAS NO HOSPITAL REGIONAL HANS DIETER SCHMIDT
Viviane Helena Raimundo, Paula Fernanda Partika, Haroldo Luiz Jordelino da Luz, Eduardo Manoel Pereira
Arquivos Catarinenses de Medicina.2020; 49(2): 14. CrossRef
Adverse events related to colonoscopy: Global trends and future challenges
Su Young Kim, Hyun-Soo Kim, Hong Jun Park
World Journal of Gastroenterology.2019; 25(2): 190. CrossRef
Iatrogenic Colonic Perforations: Changing the Paradigm
Jose Luis Ulla-Rocha, Angel Salgado, Raquel Sardina, Raquel Souto, Raquel Sanchez-Santos, Juan Turnes
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2019; 29(3): 173. CrossRef
Diagnosis and Management of Colonoscopy-related Perforation
Nam Seok Ham, Jung Ho Bae, Dong-Hoon Yang
The Korean Journal of Gastroenterology.2019; 73(6): 327. CrossRef
Management Outcomes of Colonoscopic Perforations Are Affected by the General Condition of the Patients
Jae Ho Park, Kyung Jong Kim
Annals of Coloproctology.2018; 34(1): 16. CrossRef
2017 WSES guidelines for the management of iatrogenic colonoscopy perforation
Nicola de’Angelis, Salomone Di Saverio, Osvaldo Chiara, Massimo Sartelli, Aleix Martínez-Pérez, Franca Patrizi, Dieter G. Weber, Luca Ansaloni, Walter Biffl, Offir Ben-Ishay, Miklosh Bala, Francesco Brunetti, Federica Gaiani, Solafah Abdalla, Aurelien Ami
World Journal of Emergency Surgery.2018;[Epub] CrossRef

Case Report

Colouterine Fistula Caused by Diverticulitis of the Sigmoid Colon: Pyong Wha Choi; J Korean Soc Coloproctol. 2012;28(6):321-324. Published online December 31, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.6.321

9,435 View
62 Download
25 Citations

Abstract PDF

Colouterine fistula is an extremely rare condition because the uterus is a thick, muscular organ. Here, we present a case of a colouterine fistula secondary to colonic diverticulitis. An 81-year-old woman was referred to the emergency department with abdominal pain and vaginal discharge. Computed tomography showed a myometrial abscess cavity in the uterus adherent to the thick sigmoid wall. Upon contrast injection via the cervical os for fistulography, we observed spillage of the contrast into the sigmoid colon via the uterine fundus. Inflammatory adhesion of the distal sigmoid colon to the posterior wall of the uterus was found during surgery. The colon was dissected off the uterus. Resection of the sigmoid colon, primary anastomosis, and repair of the fistula tract of the uterus were performed. The postoperative course was uneventful. This case represents an unusual type of diverticulitis complication and illustrates diagnostic procedures and surgical management for a colouterine fistula.

Citations

Citations to this article as recorded by

Colouterine Fistel: Diagnosestellung einer seltenen Komplikation der Divertikulitis mithilfe der CT
Rizkallah Kanaan, Sebastian Ullrich, Anita Szepan
RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren.2026; 198(03): 378. CrossRef
Complicated sigmoid diverticulitis causing colouterine fistula and recurring tubo-ovarian abscesses: a case report
Felix Hers, Ronald J.C.L.M. Vuylsteke, Esther C.A.M. van Swieten, Hein B.A.C. Stockmann
International Journal of Surgery Case Reports.2026;[Epub] CrossRef
Radiological insights into diverticulitis: Clinical manifestations, complications, and differential diagnosis
Mehmet Simsar, Yesim Y Yuruk, Olgun Sahin, Hilal Sahin
World Journal of Radiology.2025;[Epub] CrossRef
Colouterine fistula relating to diverticulitis: a rare clinical entity
Anoosha Aslam, David J Lewis, Mayooran Veerasingham, Mohamed Z Afzal, Asar Alsaffar
Journal of Surgical Case Reports.2024;[Epub] CrossRef
Colouterine Fistula: A Rare Presentation of Severe Diverticular Disease
Jessica M Orgovan, Byron D Dodson
Cureus.2024;[Epub] CrossRef
A case report of a colouterine fistula treatment: when the patient chooses the steeplechase
Stefano Pontone, Pier Giorgio Nardis, Chiara Eberspacher, Domenico Mascagni
Annals of Coloproctology.2023; 39(4): 366. CrossRef
Pre-existing Opioid Use Worsens Outcomes in Patients With Diverticulitis
Amjad Shaikh, Ayham Khrais, Alexander Le, Alexander J Kaye, Sushil Ahlawat
Cureus.2023;[Epub] CrossRef
Uterocolon Fistula Formation in 50 Year Old Patient with History of 16 Years Intrauterine Device Use: A Case Report
Adiguna Gurnita, Eppy Darmadi Achmad
International Medical Case Reports Journal.2023; Volume 16: 719. CrossRef
Chronic sigmoid diverticulitis causing tubo-ovarian abscess and colo-uterine fistula
Phelopatir Anthony, Tracey Edwards, Nagy Andrawis
Journal of Surgical Case Reports.2023;[Epub] CrossRef
Laparoscopic sigmoidectomy for recurrent diverticulitis with colouterine fistula
Imen Ben Ismail, Nada Hammami, Ayoub Zoghlami
ANZ Journal of Surgery.2022; 92(3): 559. CrossRef
Surgical management of colocutaneous fistulae in diverticulitis
Justin Yan‐Ting Ng, Jessica Yan‐Seen Ng
ANZ Journal of Surgery.2022; 92(6): 1542. CrossRef
Clinical data analysis of 41 patients with colonic fistula
Kaiwu XU, Guangyi LI, Tailiang LU, Zhige YU, Wei PENG, Yongqiang GONG, Chaowu CHEN
Chirurgia.2022;[Epub] CrossRef
A Rare Case of Occult Advanced Uterine Adenocarcinoma With a Neoplastic Enterouterine Fistula on Presentation
Rina Ghorpade, Vyshnavi Iswaravaka, Nitant Parekh, Fiona Tissavirasingham
Cureus.2022;[Epub] CrossRef
Tratamiento miniinvasivo de la fístula colouterina de origen diverticular
Ricardo Esteban Mentz, Esteban Agustín González Salazar, Juan Pablo Campana, Carlos Alberto Vaccaro, Gustavo Leandro Rossi
Cirugía Española.2021; 99(7): 549. CrossRef
Pyometra secondary to colouterine fistula as a complication of diverticulitis
Francisco Miguel González Valverde, María Jesús Gómez Ramos
International Urogynecology Journal.2021; 32(9): 2553. CrossRef
Colouterine fistula
Anthony R. Perez, Mary Ellen Chiong-Perez, Crisostomo E. Arcilla, John Isaac Merin
International Journal of Surgery Case Reports.2021; 79(C): 150. CrossRef
Colouterine and Jejunouterine Fistula Secondary to Chronic Diverticulitis
Ilias Galanis, Georgios Floros, Christophoros Theodoropoulos, Myriam Metaxa, Panagiotis Theodoropoulos, Panagiotis Tsintavis, Dimitrios Bartziotas, Georgios Giannos, Georgios Stylianidis, Georgios Papadopoulos, Hirotada Akiho
Case Reports in Gastrointestinal Medicine.2021; 2021: 1. CrossRef
Mini-invasive treatment of colouterine fistula of diverticular origin
Ricardo Esteban Mentz, Esteban Agustín González Salazar, Juan Pablo Campana, Carlos Alberto Vaccaro, Gustavo Leandro Rossi
Cirugía Española (English Edition).2021; 99(7): 549. CrossRef
Colouterine fistula secondary to pyometra: a case report
Moon Kyoung Cho, Tae Young Kim, Chul Hong Kim
Clinical and Experimental Obstetrics & Gynecology.2021;[Epub] CrossRef
A case report of colouterine fistula due to colonic diverticulitis: a rare complication
Shweta Pandey, Saurabh Maheshwari, Uddandam Rajesh, Darshan Singh Grewal, Vibhuti Maria
Egyptian Journal of Radiology and Nuclear Medicine.2020;[Epub] CrossRef
Sigmoido-uterine fistula: An uncommon communication!
Gabriel Rodrigues, Krishna Kalyan Reddy Janumpalli, Shyamala Guruvare, Suresh Arjun, Afroz Khan, Balaji Jayasankar
European Journal of Obstetrics & Gynecology and Reproductive Biology.2019; 239: 74. CrossRef
Different etiologies of an unusual disease: Colouterine fistula – Report of two cases
Rohit Aggarwal, Venkatraman Indiran, Prabakaran Maduraimuthu
Indian Journal of Radiology and Imaging.2018; 28(01): 37. CrossRef
Diverticulitis: a comprehensive review with usual and unusual complications
Mehmet Ruhi Onur, Erhan Akpinar, Ali Devrim Karaosmanoglu, Cavid Isayev, Musturay Karcaaltincaba
Insights into Imaging.2017; 8(1): 19. CrossRef
Single-incision laparoscopic (SIL) sigmoid colectomy and uterus-preserving repair for colo-uterine fistula secondary to severe diverticular disease: an unusual technical solution for an unusual presentation of a common disease
Balazs Banky, Fergal Marlborough, Iona MacLeod, Talvinder S Gill
BMJ Case Reports.2016; 2016: bcr2016214895. CrossRef
Colouterine fistula after polymyomectomy: a case report
Jennifer Uzan, Martin Koskas, Pierre Fournier, Anne Laure Margulies, Dominique Luton, Chadi Yazbeck
Journal of Medical Case Reports.2014;[Epub] CrossRef

Original Article

Clinical Characteristics of Primary Epiploic Appendagitis: Young Un Choi, Pyong Wha Choi, Yong Hwan Park, Jae Il Kim, Tae Gil Heo, Je Hoon Park, Myung Soo Lee, Chul Nam Kim, Surk Hyo Chang, Jeong Wook Seo; J Korean Soc Coloproctol. 2011;27(3):114-121. Published online June 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.3.114

10,089 View
46 Download
35 Citations

Abstract PDF

Purpose

Primary epiploic appendagitis (PEA) is a rare cause of an acute abdomen. It can be clinically misdiagnosed as either diverticulitis or appendicitis on clinical examination because the clinical symptoms and signs of PEA are non-specific. The present study was performed to describe the clinical characteristics of PEA and to assess the differences between PEA and diverticulitis.

Methods

We reviewed the clinical records and radiologic findings of 31 consecutive patients with PEA and compared them with those of patients with diverticulitis without complications.

Results

In most cases, abdominal pain was localized to the right (13 cases, 41.9%) or left (13 cases, 41.9%) lower quadrants. Gastrointestinal symptoms such as nausea and vomiting were infrequent, and localized tenderness without peritoneal irritation was common. All patients were afebrile, and only 4 patients (12.9%) showed leukocytosis. In all cases except one, a pericolic fatty mass with a hyperattenuated ring was observed on computed tomography. Patients with left PEA were younger than those with diverticulitis (41.4 ± 11.9 vs. 69.7 ± 13.3, P < 0.001), and the mean body mass index was higher in patients with left PEA (26.4 ± 2.9 vs. 22.6 ± 3.4, P = 0.01). Whereas one patient (6.7%) with left PEA showed leukocytosis, the incidence of leukocytosis in patients with diverticulitis was 80% (8/10) (P < 0.001).

Conclusion

In patients with an acute abdomen showing localized tenderness without associated symptoms or leukocytosis, a high index of suspicion for PEA is necessary. For correct diagnosis and proper management, it would useful for surgeons to be aware of the computed tomographic findings and the natural course of the disease.

Citations

Citations to this article as recorded by

Epiploic Appendagitis—A Diagnostic Challenge in Acute Abdominal Pain: A Case Series
Carlos Alberto Borda Venegas, Nayib Jesus Zurita MedranoQ, Carlos A Lozano De Avila
Panamerican Journal of Trauma, Critical Care & Emergency Surgery.2025; 14(1): 65. CrossRef
Variable Radiological Presentations of Acute Appendicitis With Epiploic Appendagitis as a Differential Diagnosis: A Case Series
Nishant Agarwal, Bodhisatwa Choudhuri, Nilanjana Datta Chaudhuri, Nirmalya Bagchi
Cureus.2025;[Epub] CrossRef
Epiploic appendagitis: An overlooked cause of acute abdominal pain
Yasser El-Sawaf, Salman Alzayani, Nermin K Saeed, Adel S Bediwy, Reem Elbeltagi, Khaldoon Al-Roomi, Mohammed Al-Beltagi
World Journal of Gastroenterology.2025;[Epub] CrossRef
Epiploic Appendagitis Following Blunt Abdominal Trauma: A Case Report with Literature Review
Ayah Obeid, Douglas Degler
ASIDE Case Reports.2025; 1(2): 6. CrossRef
Exploring Epiploic Appendagitis: A Review
Katherine F Guijarro Falcon, Beebee Mubarak Jan, Hadeel Fathi Eltigani Suliman, Mohit Bhatia
Cureus.2025;[Epub] CrossRef
Epiploic Appendagitis of the Transverse Colon: A Rare Localization of a Benign and Frequently Misdiagnosed Condition
Hind Lahssini, Fouad Haddad, Rita Debbarh, Zineb Boukhal, Fatima Zahra El Rhaoussi, Tahiri Mohamed, Wafaa Hliwa, Ahmed Bellabah, Wafaa Badre
European Journal of Medical and Health Research.2025; 4(1): 63. CrossRef
Diagnosis and treatment of epiploic appendagitis in a Middle Eastern country: An observational retrospective analysis of 156 cases
Ayman El‐Menyar, Syed G. A. Naqvi, Omer Al‐Yahri, Abdelaziz MA Abusal, Abdulwahhab Al‐Shaikhli, Sadia Sajid, Husham Abdelrahman, Ahmad G. Kloub, Muhamed Ibnas, Rifat Latifi, Yasser M. R. Toble, Hassan Al‐Thani
World Journal of Surgery.2024; 48(6): 1363. CrossRef
A Rare Presentation of Epiploic Appendagitis as Chest Pain: A Case Report
Thomas A Elimihele, Sachin Kumar, Ifelunwa M Osanakpo, Nkechi Akata
Cureus.2024;[Epub] CrossRef
A False Alarm of Acute Abdomen: Epiploic Appendagitis Case Report and Literature Review
Noor ul Huda Ramzan, Talha Asif, Mahnoor Tauqeer, Muhammad Bilal Hashmat, Mian Uman Anwer
Cureus.2024;[Epub] CrossRef
Epiploic appendagitis, an overlooked emergency in the daily practice
Feyza Sönmez Topcu, Ender Anılır
Akademik Gastroenteroloji Dergisi.2024; 23(3): 114. CrossRef
Recurrencia en pacientes con apendagitis epiploica: un reporte de caso
Mía Alejandra Gómez Corrales, Fabian Andrés Chávez Ecos, Jackeline Alexandra Espinoza Utani, Carlos Alberto Dávila Hernández
Revista colombiana de Gastroenterología.2023; 38(1): 94. CrossRef
A Case of Epiploic Appendagitis after COVID-19
Hun Joo Lee, Jaeyeon Kim, Seong O Suh
The Korean Journal of Gastroenterology.2023; 81(3): 125. CrossRef
A rare case of epiploic appendages infarction within an incisional hernia: a usual complain of unusual cause
Elias Edward Lahham, Qusai A Alsalah, Mohammad I Alsahouri, Abdalrazeq Ghweir, Mohammad AlQadi, Nafez Sarhan
Journal of Surgical Case Reports.2023;[Epub] CrossRef
Primary epiploic appendagitis: A retrospective analysis of clinical and tomographic findings in 14 patients
Belma ÇEVİK, Benan KASAPOĞLU
Archives of Current Medical Research.2023; 4(3): 186. CrossRef
Appendagitis epiploica: eine seltene und nichtchirurgische Ursache abdomineller Schmerzen
Ahmad Alhazmi, Cynthia de Carvalho Fischer, Lars-Arne Schaafs, Claudia Seifarth
Die Chirurgie.2023; 94(11): 954. CrossRef
Prevalence of SIRS with primary epiploic appendagitis
Julian Wong, Kenneth K. Lau
Emergency Radiology.2023; 31(1): 17. CrossRef
EPIPLOIC APPENDAGITIS: AN UNCOMMON CASE OF ACUTE ABDOMINAL PAIN WITH CHARACTERISTIC IMAGING FINDINGS.
Shreyas C, Ankita Chauhan, Sanjeev Sharma
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH.2022; : 23. CrossRef
A Case of Recurrent Epiploic Appendagitis Treated With Conservative Management
Rachel V Christenson, Phuoc D Nguyen, Lincoln R Wallace
Cureus.2022;[Epub] CrossRef
Intraperitoneal focal fat infarction: the great mimicker in the acute setting
Eleni Lazaridou, Christina Aslanidi, Vassiliki Mellou, Sofia Athanasiou, Demetrios Exarhos
Emergency Radiology.2021; 28(1): 201. CrossRef
Epiploic Appendagitis
Yuta Hirose, Kiyoshi Shikino
The American Journal of Medicine.2021; 134(3): e195. CrossRef
Primary Epiploic Appendagitis: A Case Report
Alpaslan Mert, Emre Mırcık
Cureus.2021;[Epub] CrossRef
Primary Epiploic Appendagitis Mimicking Acute Appendicitis: A Case Report and Narrative Review of the Literature
Maria Alexandra Kefala, Kostas Tepelenis, Christos K. Stefanou, Stefanos K. Stefanou, Georgios Papathanakos, Aikaterini Kitsouli, Nikolaos Tepelenis, Panagiotis Kitsoulis
The Korean Journal of Gastroenterology.2020; 76(2): 88. CrossRef
Clinical Awareness and Acceptance of Sonographically Diagnosed Epiploic Appendagitis (EA): A Retrospective Analysis of EA in a Single Tertiary Academic Referral Center
Ehsan Safai Zadeh, Julia Kindermann, Christoph F. Dietrich, Christian Görg, Tobias Bleyl, Amjad Alhyari, Corinna Trenker
Ultrasound International Open.2020; 06(03): E87. CrossRef
THE INFLAMMATION OF EPIPLOIC APPENDIX: PRIMARY EPIPLOIC APPENDAGITIS
Sevilay VURAL, Figen COŞKUN
Kırıkkale Üniversitesi Tıp Fakültesi Dergisi.2019; 21(1): 102. CrossRef
Primary epiploic appendagitis as an unusual cause of acute abdominal pain in a middle-aged male
Lan Yang, Min Jia, Ping Han
Medicine.2019; 98(33): e16846. CrossRef
Primary epiploic appendagitis: compared with diverticulitis and focused on obesity and recurrence
Youn I Choi, Hyun Sun Woo, Jun-Won Chung, Young Sup Shim, Kwang An Kwon, Kyoung Oh Kim, Yoon Jae Kim, Dong Kyun Park
Intestinal Research.2019; 17(4): 554. CrossRef
CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain
Dario Giambelluca, Roberto Cannella, Giovanni Caruana, Leonardo Salvaggio, Emanuele Grassedonio, Massimo Galia, Massimo Midiri, Giuseppe Salvaggio
Insights into Imaging.2019;[Epub] CrossRef
NADİR GÖRÜLEN BİR AKUT ABDOMEN SEBEBİ: EPİPLOİK APANDİSİT
Mehmet Şirik, Sabri Özdaş
Adıyaman Üniversitesi Sağlık Bilimleri Dergisi.2018; : 51. CrossRef
Epiploic appendagitis masquerading as incarcerated left inguinal hernia
Constantinos Avgoustou, M. Sioula
Hellenic Journal of Surgery.2016; 88(3): 205. CrossRef
An unusual cause of hematuria; primary epiploic appendagitis
Basri Cakiroglu, Orhun Sinanoglu, İlker Abci, Tuncay Tas, Akif Nuri Dogan, Suleyman Hilmi Aksoy, Yilmaz Bilsel
International Journal of Surgery Case Reports.2014; 5(12): 902. CrossRef
Primary epiploic appendagitis: Reconciling CT and clinical challenges
Jamel Saad, Hussein Ali Mustafa, Asem Mohamed Elsani, Fawaz Alharbi, Saad Alghamdi
Indian Journal of Gastroenterology.2014; 33(5): 420. CrossRef
Torsion of epiploic appendix presenting as acute pancreatitis
Charles Greenbury, Peter Thurley, Altaf Awan
JRSM Open.2014;[Epub] CrossRef
Is Outpatient Follow-Up of Epiploic Appendagitis with NSAIDs Alone and Noantibiotics Possible?
Mehmet İlhan, Erçin Sönmez, Kaan Gök, Hakan Yanar, Recep Güloğlu, Kayhan Günay, Cemalettin Ertekin
Open Journal of Gastroenterology.2014; 04(04): 170. CrossRef
Primary epiploic appendagitis
Carlos Augusto Real Martinez, Rogério Tadeu Palma, Paulo Pedroso Silveira Júnior, Daniela Tiemi Sato, Murilo Rocha Rodrigues, Hermínio Cabral de Resende Júnior, René Crepaldi Filho
Journal of Coloproctology.2013; 33(03): 161. CrossRef
Epiploic appendagitis: An uncommon cause of acute abdomen
PankajKumar Garg, Rajiv Verma, BhupendraKumar Jain, Seema Aggarwal
Annals of African Medicine.2013; 12(4): 257. CrossRef

First
Prev
Page of 1
Next
Last

Search