{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:48:40Z","timestamp":1772120920474,"version":"3.50.1"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,9,7]],"date-time":"2020-09-07T00:00:00Z","timestamp":1599436800000},"content-version":"vor","delay-in-days":250,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Epiploic appendagitis is a torsion of fatty appendages of ligamentum trees (1), it\u2019s a rare cause of abdominal pain that usually manifests by right or left iliac fossa pain, reminding of appendicitis, diverticulitis or ischemia of the omentum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report the case of a 56 years old male patient admitted for an epigastric pain and a right-upper quadrant abdominal pain, for whom he underwent an abdominal ultrasound and a CT-scan who shown an abscessed mass under colic transverse to the unusual seat.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>CT scan is still the key modality for diagnosis, avoiding unnecessary surgery. Complications of primary epiploic appendagitis have rarely been described in the literature (Hwang et al., 2013; Hasbahceci et al., 2012). Another more rare complication is appendagitis with associated abscess, in this condition, we must also think about complicated diverticulitis.<\/jats:p>\n                    <jats:p>The treatment of uncomplicated forms is generally conservative, however, some authors have suggested a surgical method (Saad et al., 2014).<\/jats:p>\n                    <jats:p>For therapeutic management of its complication, there has been much interest in the use of minimally invasive techniques such as percutaneous drainage to minimize the morbidity and mortality that is associated with surgery (Evidence National Guideline Centre (UK), 2019).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The diagnosis of epiploic appendagitis is still uncommon, CT scan can eliminate other diagnosis of acute abdominal pain such as diverticulitis and appendicitis. It also allows the diagnosis of the rare complicated forms such as abscesses associated with epiploic appendagitis.<\/jats:p>\n                    <jats:p>The treatment of typical forms is usually conservative, while the complicated form requires surgery because of the potential associated pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.09.041","type":"journal-article","created":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T11:53:42Z","timestamp":1599825222000},"page":"112-116","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Acute abdomen in adult revealing unusual complicated epiploic appendagitis"],"prefix":"10.1097","volume":"75","author":[{"given":"Y.","family":"Charifi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Lamrani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Chbani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Maaroufi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Alami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R2-26-20260114","first-page":"23","article-title":"Epiploic appendagitis","volume":"138","author":"Thomas","year":"1974","journal-title":"Surg. Gynecol. Obstet"},{"key":"R3-26-20260114","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1148\/radiology.191.2.8153333","article-title":"Primary epiploic appendagitis: clinical, US, and CT findings in 14 cases","volume":"191","author":"Rioux","year":"1994","journal-title":"Radiology"},{"key":"R4-26-20260114","first-page":"328","article-title":"Les appendagites \u00e9piplo\u00efques primitives: un diagnostic radiologique [Epiploic appendagitis: a radiologic diagnosis]","volume":"139","author":"Gomez","year":"2002","journal-title":"J. Chir. (Paris"},{"key":"R5-26-20260114","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.lpm.2006.11.002","article-title":"Appendagite \u00e9piplo\u00efque primitive: un diagnostic non chirurgical souvent m\u00e9connu [Primary epiploic appendagitis: a nonsurgical and often misdiagnosed pathology]","volume":"36","author":"Kianmanesh","year":"2007","journal-title":"Presse Med"},{"key":"R6-26-20260114","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1016\/j.jemermed.2012.01.068","article-title":"A mysterious cause of a surgical abdomen","volume":"44","author":"Baadh","year":"2013","journal-title":"J. Emerg. Med"},{"key":"R7-26-20260114","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1016\/j.gcb.2008.05.016","article-title":"Appendagite \u00e9piploique primitive: a\u00e8 propos d\u2019un cas","volume":"32","author":"Bonnefoy","year":"2008","journal-title":"Gastroenterol. Clin. Biol"},{"key":"R8-26-20260114","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.lpm.2012.04.015","article-title":"Appendagite: un diagnostic diff\u00e9rentiel d\u2019abdomen chirurgical aigu [Epiploic appendagitis: a differential diagnosis of acute abdominal pain needing surgery]","volume":"42","author":"Kras","year":"2013","journal-title":"Presse Med"},{"key":"R9-26-20260114","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1038\/nrgastro.2010.189","article-title":"Insights into epiploic appendagitis","volume":"8","author":"Schnedl","year":"2011","journal-title":"Nat. Rev. Gastroenterol. Hepatol"},{"key":"R11-26-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R13-26-20260114","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.rce.2019.07.010","article-title":"Epiploic appendagitis as unusual cause of acute abdominal pain: clinical and radiologic features of 7 patients. Apendagitis epiploica como causa inusual de dolor abdominal agudo: caracter\u00edsticas cl\u00ednicas y radiol\u00f3gicas de 7 pacientes","volume":"219","author":"Moreno Obreg\u00f3n","year":"2019","journal-title":"Rev. Clin. Esp"},{"key":"R14-26-20260114","doi-asserted-by":"crossref","first-page":"6842","DOI":"10.3748\/wjg.v19.i40.6842","article-title":"Differential diagnosis of left-sided abdominal pain: primary epiploic appendagitis vs colonic diverticulitis","volume":"19","author":"Hwang","year":"2013","journal-title":"World J. Gastroenterol"},{"key":"R15-26-20260114","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s00268-011-1382-2","article-title":"Epiploic appendagitis: is there need for surgery to confirm diagnosis in spite of clinical and radiological findings?","volume":"36","author":"Hasbahceci","year":"2012","journal-title":"World J. Surg"},{"key":"R16-26-20260114","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1007\/s12664-014-0466-y","article-title":"Primary epiploic appendagitis: reconciling CT and clinical challenges","volume":"33","author":"Saad","year":"2014","journal-title":"Indian J. Gastroenterol"},{"key":"R17-26-20260114","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1177\/000313481207800226","article-title":"Management of primary epiploic appendagitis in the laparoscopic era","volume":"78","author":"Aurello","year":"2012","journal-title":"Am. 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