The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Timofeev M.E.

Rossiĭskiĭ natsional'nyĭ issledovatel'skiĭ meditsinskiĭ universitet im. N.I. Pirogova;
Nauchno-obrazovatel'nyĭ tsentr abdominal'noĭ khirurgii i éndoskopii;
Kafedra gospital'noĭ khirurgii #2 s NIL khirurgicheskoĭ gastroénterologii i éndoskopii;
Gorodskaia klinicheskaia bol'nitsa #31, Moskva

Krechetova A.P.

Municipal clinical hospital №31, Moscow ,Faculty of Fundamental Medicine, Lomonosov Moscow State University

Fedorov E.D.

Kafedra gospital'noĭ khirurgii #2 i nauchno-issledovatel'skaia laboratoriia khirurgicheskoĭ gastronterologii i ndoskopii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova

Shapoval’yants S.G.

Department of Hospital Surgery №2 with the research laboratory of surgical gastroenterology and endoscopy, N.I. Pirogov Russian National Research Medical University, Moscow

The clinical presentation, diagnostics and treatment of pathological changes of the epiploic appendices

Authors:

Timofeev M.E., Krechetova A.P., Fedorov E.D., Shapoval’yants S.G.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2013;(10): 77‑83

Read: 5265 times


To cite this article:

Timofeev ME, Krechetova AP, Fedorov ED, Shapoval’yants SG. The clinical presentation, diagnostics and treatment of pathological changes of the epiploic appendices. Pirogov Russian Journal of Surgery. 2013;(10):77‑83. (In Russ.)

Recommended articles:
Obstructive sleep apnea syndrome as a predictor of atrial fibrillation. Russian Journal of Preventive Medi­cine. 2025;(1):109-114
Virus-associated progesterone-resistant chro­nic endo­metritis — the onco­risk situation?. Russian Bulletin of Obstetrician-Gynecologist. 2025;(1):25-30
Modern approaches to cystic lung diseases diagnosis. Journal of Respiratory Medi­cine. 2025;(1):30-37
Primary bile acid synthesis diso­rders. Russian Journal of Evidence-Based Gastroenterology. 2025;(1):71-90
Combined treatment of patients with acute muscular tonic syndrome with dorsopathy. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(3):70-77

References:

  1. Абдулжавадов И.М.  Kista sal'nikovogo otrostka sigmovidnoi kishki. Vestn khir 1989; 9: 54-55.
  2. Абдулжавадов И.М.  Laparoskopicheskaya diagnostika zavorota sal'nikovykh otrostkov tolstoi kishki u zhenshchin. Endoskop khir 2005; 5: 33-35.
  3. Абдулжавадов И.М.  Laparoskopicheskie metody v lechenii patologii sal'nikovykh otrostkov tolstoi kishki. Endoskop khir 2008; 14: 1: 19-21.
  4. Абдулжавадов И.М.  Laparoskopiya v diagnostike i lechenii zabolevanii sal'nikovykh otrostkov tolstoi kishki. Endoskop khir 2005; 5: 50-53.
  5. Абдулжавадов И.М.  Maloinvazivnye sposoby diagnostiki i lecheniya zabolevanii sal'nikovykh otrostkov tolstoi kishki (obzor literatury). Endoskop khir 2007; 6: 59-63.
  6. Абдулжавадов И.М.  Nekroz zhirovykh podveskov tolstoi kishki. Khirurgiya 2006; 2: 44-46.
  7. Абдуллаев Э.Г., Феденко В.В., Ходос Г.В. и др.  Rol' laparoskopii v diagnostike i lechenii ostrykh khirurgicheskikh zabolevanii i travm bryushnoi polosti. Endoskop khir 2000; 5: 12-15.
  8. Баулина Е.А., Николашин В.А., Баулин А.А. и др.  Patologiya zhirovykh podveskov [Elektronnyi resurs]. XIII s''ezd Rossiiskogo obshchestva endoskopicheskikh khirurgov 2009; Rezhim dostupa: http://www.laparoscopy.ru/doktoru/view_thesis.php?id=679&event_id=7 (data obrashcheniya: 20.05.12).
  9. Буянов В.М., Перминова Г.И.  Laparoskopiya v diagnostike i lechenii ostrykh zabolevanii zhirovogo podveska. Khirurgiya 1987; 7: 102-105.
  10. Горбушина З.Е., Курлат Н.Г., Кабак А.И., Чутак И.В.  O diagnostike i lechenii epiploita. Klin khir 1987; 2: 26.
  11. Кашпитарь А.В.  Primenenie laparoskopii v diagnostike i lechenii ostrykh zabolevanii sal'nikovykh otrostkov sigmovidnoi obodochnoi kishki. Klin khir 1995; 2: 46-47.
  12. Кузьмин И.В., Бохан К.Л.  Svobodnye tela bryushnoi polosti (STBP): diagnosticheskaya problema. Novyi khir arkhiv 2001; 1: 2.
  13. Кургузов О.П.  Klinicheskie maski zavorota sal'nikovykh otrostkov obodochnoi kishki. Khirurgiya 2006; 8: 27-32.
  14. Кургузов О.П.  Ostroe vospalenie sal'nikovykh otrostkov obodochnoi kishki. Khirurgiya 2001; 9: 6: 45-49.
  15. Муканов С.М.  Effektivnost' laparoskopii pri diagnostike i lechenii perekruta sal'nikovykh podvesok tolstoi kishki. Med zhurn Zapadnogo Kazakhstana 2011; 3: 31: 108-109.
  16. Саакян Н.Е., Сиротинский В.В., Макаров В.Н., Егиев В.Н.  Laparoskopiya v diagnostike i lechenii nekroza zhirovogo podveska sigmovidnoi kishki. Khirurgiya 1989; 4: 137-138.
  17. Сухопара Ю.Н.  Organizatsionnye i lechebnye printsipy primeneniya laparoskopicheskoi tekhniki v neotlozhnoi khirurgii: Avtoref. dis. d-ra med. nauk. Voen.-med. akad. SPb 2001.
  18. Тимербулатов В.Н., Уразбахтин И.М., Ишимом М.С., Гайнутдинов Ф.М.  Diagnostika i lechenie perekruta zhirovykh podvesok tolstoi kishki. Vestn khir 1992; 2: 100-101.
  19. Шаповальянц С.Г., Тимофеев М.Е., Федоров Е.Д. и др.  Videolaparoskopicheskie vmeshatel'stva v neotlozhnoi khirurgii perekruta i nekroza sal'nikovykh otrostkov obodochnoi kishki. Materialy KhI s''ezda khirurgov Rossiiskoi Federatsii. Volgograd, 25-27 maya 2011; 395-396.
  20. Шаповальянц С.Г., Тимофеев М.Е., Федоров Е.Д. и др.  Vosemnadtsatiletnii opyt primeneniya ekstrennykh videolaparoskopicheskikh vmeshatel'stv pri ostrykh khirurgicheskikh zabolevaniyakh organov bryushnoi polosti. Al'manakh Instituta khirurgii im. A.V. Vishnevskogo 2012; 7: 1: 261-262.
  21. Эфендиев Ш.М., Волков О.В., Курбанов М.А. и др.  Zabolevaniya zhirovykh podveskov obodochnoi kishki. Khirurgiya 2003; 10: 64-66.
  22. Al-Jaberi Т.М., Gharaibeh K.I., Yaghan R.J.  Torsion of abdominal appendages presenting with acute abdominal pain. Ann Saudi Med 2000; 20: 3-4: 211-213.
  23. Almeida A.T., Melao L., Viamonte B. et al.  Epiploic appendagitis: an entity frequenty unknown to clinicans - diagnostic imaging, pitfalls, and look-alikes. AJR 2009; 193: 1243-1251.
  24. Bandyopadhyay S.K., Jain M., Khanna S., Sen В., Tantia O.  Torsion of the epiploic appendix: An unusual cause of acute abdomen. J Minim Access Surg 2007; 3: 2: 70-72.
  25. Behranwala K.A., Agarwal Т., Treacy C. et al.  Intestinal obstruction secondary to torsion of an appendix epiploica: a case report. Cases J 2009; 30: 2: 6475.
  26. Boudiaf M., Zidi S.H., Soyer P. et al.  Primary epiploic appendicitis: CT diagnosis for conservative treatment. Presse Med 2000; 12: 29: 5: 231-236.
  27. Caironi C., Re S., Zanaboni M., Perrucci C.  A case of massive hemoperitoneum caused by spontaneous detachment of epiploic appendices. Minerva Chir 1980; 35: 4: 267-270.
  28. Capaccio E., Di Vito L., Derchi L.E.  Epiploic appendage torsed within a spigelian hernia: US and CT findings. J Clin Ultrasound 2011; 20: 272-273.
  29. Carmichael D.H., Organ C.J.  Epiploic disorders. Conditions of the epiploic appendages. Arch Surg 1985; 20: 10: 1167-1172.
  30. Chouillard E., Fingerhut A.  Acute appendicitis after laparoscopic treatment of acute epiploic appendagitis. Surg Endosc 2003; 17: 4: 660-661.
  31. Chowbey P.K., Singh G., Sharma A. et al.  Torsion of appendices epiploicae presenting as acute abdomen: laparoscopic diagnosis and therapy. Indian J Gastroenterol 2003; 22: 2: 68-69.
  32. Christianakis E., Paschalidis N., Filippou G. et al.  Cecal epiploica appendix torsion in a female child mimicking acute appendicitis: a case report. Cases 2009; 29: 2: 8023.
  33. Danse E.M., Van Beers B.E., Baudrez V. et al.  Epiploic appendagitis: color Doppler sonographic findings. Eur Radiol 2001; 11: 2: 183-186.
  34. Diaco J.F., Diaco D.S., Brannan A.N.  Endoscopic removal of an infarcted appendix epiploica. J Laparoendosc Surg 1993; 3: 2: 149-151.
  35. Ghosh P., Strong C., Naugler W., Haghighi P., Carethers J.M.  Peritoneal mice implicated in intestinal obstruction: report of a case and review of the literature. J Clin Gastroenterol 2006; 40: 5: 427-430.
  36. Hasbahceci M., Erol C., Seker M.  Epiploic Appendagitis: is there need for surgery to confirm diagnosis in spite of clinical and radiological findings? World J Surg 2011; 36: 2: 441-446.
  37. Hiller N., Berelowitz D., Hadas-Halpern I.  Primary epiploic appendagitis: clinical and radiological manifestations. IMAJ 2000; 2: 896-898.
  38. Hollerweger A., Macheiner P., Hubner E. et al.  Epiploic appendagitis: sonographic findings in 28 cases. Ultraschall Med 2002; 23: 4: 239-244.
  39. Jalaguier A., Simon J., Berrod J.L. et al.  Torsion of an epiploic appendage inside a Spigelian hernia: a first imaging case report. Radiol 2006; 87: 12 Pt 1: 1891-1893.
  40. Kamran A.M.  Torsion of an epiploic appendix pretending as acute appendicitis. Oman Med J 2010; 25: 3: 225-226.
  41. Kim J., Kim Y., Cho O.K. et al.  Omental torsion: CT features. Abdom Imaging 2004; 29: 4: 502-504.
  42. Lee Y.C., Wang H.P., Huang S.P. et al.  Gray-scale and color Doppler sonographic diagnosis of epiploic appendagitis. Clin Ultrasound 2001; 29: 3: 197-199.
  43. Mazza D., Fabiani P., Casaccia M. et al.  A rare laparoscopic diagnosis in acute abdominal pain: torsion of epiploic appendix. Surg Laparosc Endosc 1997; 7: 6: 456-458.
  44. Molla E., Ripolles Т., Martinez M.J. et al.  Primary epiploic appendagitis: US and CT findings. Eur Radiol 1998; 8: 3: 435-438.
  45. O'Rourke R.W., Saito J.M., Albanese C.T.  Laparoscopic Diagnosis and Resection of Pediatric Appendicitis Epiploicae: Case Report and Literature Review. Pediatric Endosurgery & Innovative Techniques 2001; 5: 319-322.
  46. Osadchy A., Shapiro-Feinberg M., Zissin R.  Strangulated small bowel obstruction related to chronic torsion of an epiploic appendix: CT findings. Br J Radiol 2001; 74: 1062-1064.
  47. Ozkurt H., Karatağ O., Karaarslan E., Bağak M.  Clinical and CT findings of epiploic appendagitis within an inguinal hernia. Diagn Interv Radiol 2007; 13: 23-25.
  48. Paulson E.K., Coursey C.A.  CT protocols for acute appendicitis: time for change. Am J Roentgenol 2009; 193: 5: 1268-1271.
  49. Pereira J.M., Sirlin C.B., Pinto P.S. et al.  Disproportionate fat stranding: a helpful CT sign in patients with acute abdominal pain. Radiografics 2004; 24: 703-715.
  50. Rajesh A.  The ring sign. Radiology 2005; 237: 1: 301-302.
  51. Rao P.M., Novelline R.A.  Case 6: primary epiploic appendagitis. Radiology 1999; 210: 145-148.
  52. Rao P.M., Wittenber J., Lawrason J.N.  Primary epiploic appendagitis: evolutionary changes in CT appearance. Radiology 1997; 204: 3: 713-717.
  53. Rao P.M., Rhea J.Т., Wittenberg J., Warshaw A.L.  Misdiagnosis of primary epiploic appendagitis. Am J Surg 1998; 176: l: 81-85.
  54. Rioux M., Langis P.  Primary epiploic appendagitis: clinical, US, and CT findings in 14 cases. Radiology 1994; 191: 2: 523-526.
  55. Robb W.B., Barry M.C., Ireland A.P., Duke D., Lee M.J., Bouchier-Hayes D.J.  Conservative management of epiploic appendagitis based on CT scan findings. 'Ir J Med Sci 2002; 171: 3: 172.
  56. Rodríguez Gandía M.A., Moreira Vicente V., Gallego Rivera I. et al.  Epiploic appendicitis: the other appendicitis. Gastroenterol Hepatol 2008; 31: 2: 98-103.
  57. Romaniuk C.S., Simpkins K.C.  Case report: pericolic abscess secondary to torsion of an appendix epiploica. Clin Radiol 1993; 47: 3: 216-217.
  58. Sand M., Gelos M., Bechara F.G. et al.  Epiploic appendagitis - clinical characteristics of an uncommon surgical diagnosis. BMC Surg 2007; 1: 7-11.
  59. Sandrasegaran K., Maglinte D.D., Rajesh A., Akisik F.M.  Primary epiploic appendagitis: CT diagnosis. Emerg Radiol 2004; 11: 1: 9-14.
  60. Shamblin J.R., Payne C.L., Soileau M.K.  Infarction of an epiploic appendix. South Med J 1986; 79: 3: 374-375.
  61. Silva P.D., Ripple J.  Laparoscopic diagnosis and treatment of an infarcted epiploic appendage. J Am Assoc Gynecol Laparosc 1996; 3: 2: 325-327.
  62. Sirvanci M., Balci N.C., Karaman K. et al.  Primary epiploic appendagitis: MRI findings. Magn Reson Imaging 2002; 20: 1: 137-139.
  63. Sorrentino M., Terrosu G., Risaliti A. et al.  Hemoperitoneum caused by lesions to the appendix epiploica. An unusual complication of colonoscopy. Minerva Chir 1996; 51: 10: 835-837.
  64. Ter Meulen Р.Н., Prakken W.J., Ooms H.W.  Epiploic appendicitis. Ned Tijdschr Geneeskd 1999; 43: 3: 159-161.
  65. Van Breda Vriesman A.C.  The hyperattenuating ring sign. Radiology 2003; 226: 2: 556-557.
  66. Van Breda Vriesman A.C., Puylaert B.C.M.  Old and new infarction of an epiploic appendage: ultrasound mimicry of appendicitis. Abdom Imaging 1999; 24: 129-131.
  67. Vazques-Frias J.A., Castaneda P., Valencia S., Cueto J.  Laparoscopic diagnosis and treatment of an acute epiploic appendagitis with torsion and necrosis causing an acute abdomen. JSLS 2000; 4: 3: 247-250.
  68. Wijetunga R., Tan B.S., Rouse J.С. et al.  Diagnostic accuracy of focused appendiceal CT in clinically equivocal cases of acute appendicitis. Radiology 2001; 221: 747-753.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.