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2009, Number 4

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Anales de Radiología México 2009; 8 (4)

Infarto focal de grasa intraperitoneal (IFGI) como causa bien conocida y establecida pero inusual de dolor abdominal agudo

Motta RGA, Rodríguez TC, Paredes MC, Echavarry DJ, Valenzuela TJ

Language: Spanish
References: 20
Page: 281-290
PDF size: 364.65 Kb.


ABSTRACT

Objective: To review the clinical and image IFGI as causes well known and established, but unusual acute abdominal pain.
Material and methods: We present a series of patients admitted to our institution over a period of three years seven months with a clinical diagnosis of acute abdominal pain syndrome in which MDCT indicated to clarify the origin.
Results: Showing 34 cases in which identified IFGI (torsion of epiploic appendix in 28 cases (82%), omental infarction in three cases (9%), sclerosing mesenteritis in two cases (6%) and a mesenteric panniculitis case (3%) that in all the cardinal symptom prompting medical consultation was abdominal pain and the diagnosis was established mainly IFGI CT and needed surgical treatment in 12% of cases.
Conclusion: CT plays an important role in the diagnosis of acute abdomen to detect the different causes of abdominal origin. In our population we found that 26% of cases the patients are from the 6th decade of life and with such diverse locations, beyond the rectosigmoid in topography of the right colon, ascending colon and splenic flexure of conditioning colon clinical abdominal discomfort.


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