{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:40:05Z","timestamp":1751485205767,"version":"3.41.0"},"reference-count":15,"publisher":"International College of Surgeons","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>A 49-year-old woman presented with acute abdominal pain in the right iliac fossa in our emergency department. Pain was abrupt in onset and severely colicky in nature. Abnormal laboratory values included a C-reactive protein of 75\u00a0mg\/L and a CA-125 of 70.3\u00a0U\/mL. White blood cell count was normal. Abdominal computed tomography (CT) scan revealed an inhomogeneous mass of 9.5 \u00d7 3.5 \u00d7 5.5\u00a0cm in diameter close to the appendix vermiformis and the sigmoid colon. Because of the clinical symptoms of an acute abdomen an explorative laparotomy was performed. Intraoperatively a pedunculated tumor beginning at the serosa of the sigmoid colon was found. The appendix was unremarkable. The macroscopic aspect as well as the backtable incision of the tumor was suspicious of an intraperitoneal liposarcoma. Rapid section and histopathologic examination revealed necrotic fat tissue without any malignancy. The patient was discharged from the hospital 7\u00a0days after the operation with normal laboratory parameters and without further complication. When epiploic appendagitis is evident as a big tumor mass in addition to clinical symptoms of an acute abdomen and elevated tumor markers, surgical exploration is mandatory.<\/jats:p>","DOI":"10.9738\/1394.1","type":"journal-article","created":{"date-parts":[[2012,12,13]],"date-time":"2012-12-13T18:35:24Z","timestamp":1355423724000},"page":"117-119","source":"Crossref","is-referenced-by-count":3,"title":["Torquated Giant Appendix Epiploica Mimicking Intraperitoneal Liposarcoma: Report of a Case"],"prefix":"10.9738","volume":"96","author":[{"given":"Pascal","family":"Jeanmonod","sequence":"first","affiliation":[{"name":"Department of General, Visceral, Vascular and Pediatric Surgery, University of the Saarland, Homburg\/Saar, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Sperling","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Vascular and Pediatric Surgery, University of the Saarland, Homburg\/Saar, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Seidel","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of the Saarland, Homburg\/Saar, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Richter","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Vascular and Pediatric Surgery, University of the Saarland, Homburg\/Saar, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Otto","family":"Kollmar","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Vascular and Pediatric Surgery, University of the Saarland, Homburg\/Saar, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jochen","family":"Schuld","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Vascular and Pediatric Surgery, University of the Saarland, Homburg\/Saar, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"key":"i0020-8868-96-2-117-Ghahremani1","series-title":"Radiographics","first-page":"59","article-title":"Appendices epiploicae of the colon: radiologic and pathologic features.","volume":"12(1)","author":"Ghahremani, GG","year":"1992","unstructured":"Ghahremani, GG, WhiteEM, HoffFL, GoreRM, MillerJW, and ChristiML. Appendices epiploicae of the colon: radiologic and pathologic features.Radiographics1992. 12(1):59\u201377."},{"key":"i0020-8868-96-2-117-Pereira1","series-title":"Radiographics","first-page":"703","article-title":"Disproportionate fat stranding: a helpful CT sign in patients with acute abdominal pain.","volume":"24(3)","author":"Pereira, JM","year":"2004","unstructured":"Pereira, JM, SirlinCB, PintoPS, JeffreyRS, StellaDL, and CasolaG. Disproportionate fat stranding: a helpful CT sign in patients with acute abdominal pain.Radiographics2004. 24(3):703\u2013715."},{"key":"i0020-8868-96-2-117-Aronsky1","series-title":"Surg Endosc","first-page":"737","article-title":"Abdominal fat tissue necrosis as a cause of acute abdominal pain. Laparoscopic diagnosis and therapy.","volume":"11(7)","author":"Aronsky, D","year":"1997","unstructured":"Aronsky, D, Z'GraggenK, BanzM, and KlaiberC. Abdominal fat tissue necrosis as a cause of acute abdominal pain. Laparoscopic diagnosis and therapy.Surg Endosc1997. 11(7):737\u2013740."},{"key":"i0020-8868-96-2-117-Ozdemir1","series-title":"Am J Surg","first-page":"453","article-title":"Torsion of the primary epiploic appendagitis: a case series and review of the literature.","volume":"199(4)","author":"Ozdemir, S","year":"2010","unstructured":"Ozdemir, S, GulpinarK, LeventogluS, UsluHY, TurkozE, OzcayN, et al. Torsion of the primary epiploic appendagitis: a case series and review of the literature.Am J Surg2010. 199(4):453\u2013458."},{"key":"i0020-8868-96-2-117-Son1","series-title":"J Clin Gastroenterol","first-page":"435","article-title":"Clinical diagnosis of primary epiploic appendagitis: differentiation from acute diverticulitis.","volume":"34(4)","author":"Son, HJ","year":"2002","unstructured":"Son, HJ, LeeSJ, LeeJH, KimYH, RheePL, KimJJ, et al. 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A case series and review of the literature.Dig Dis Sci2004. 49(2):347\u2013350."},{"first-page":"373:2054","author":"Ammar, H","key":"i0020-8868-96-2-117-Ammar1","unstructured":"Ammar, H and LooneySC. Malani A. Epiploic appendagitis. Lancet 2009373:2054."},{"key":"i0020-8868-96-2-117-Osada1","series-title":"Radiat Med","first-page":"582","article-title":"Multidetector computed tomography diagnosis of primary and secondary epiploic appendagitis.","volume":"26(10)","author":"Osada, H","year":"2008","unstructured":"Osada, H, OhnoH, WatanabeW, NakadaK, OkadaT, YanagitaH, et al. Multidetector computed tomography diagnosis of primary and secondary epiploic appendagitis.Radiat Med2008. 26(10):582\u2013586."},{"key":"i0020-8868-96-2-117-Rao1","series-title":"Am J Surg","first-page":"81","article-title":"Misdiagnosis of primary epiploic appendagitis.","volume":"176(1)","author":"Rao, PM","year":"1998","unstructured":"Rao, PM, RheaJT, WittenbergJ, and WarshawAL. Misdiagnosis of primary epiploic appendagitis.Am J Surg1998. 176(1):81\u201385."},{"key":"i0020-8868-96-2-117-Almeida1","series-title":"AJR Am J Roentgenol","first-page":"1243","article-title":"Epiploic appendagitis: an entity frequently unknown to clinicians--diagnostic imaging, pitfalls, and look-alikes.","volume":"193(5)","author":"Almeida, AT","year":"2009","unstructured":"Almeida, AT, MelaoL, ViamonteB, CunhaR, and PereiraJM. Epiploic appendagitis: an entity frequently unknown to clinicians--diagnostic imaging, pitfalls, and look-alikes.AJR Am J Roentgenol2009. 193(5):1243\u20131251."},{"key":"i0020-8868-96-2-117-Matthyssens1","series-title":"Int Surg","first-page":"34","article-title":"Giant diverticulum of the colon: report of two new cases and review of the literature.","volume":"88(1)","author":"Matthyssens, LE","year":"2003","unstructured":"Matthyssens, LE, Van HeeR, Van OsselaerGE, and LemmensL. 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