Klinik, sonographische Diagnostik und klinische Akzeptanz des Fettbürzelinfarkts (Appendagitis Epiploica).

Bei der Ae handelt es sich um eine seltene, lokalisierte hoch schmerzhafte Erkrankung, bedingt durch eine Entzündung der Fettgewebsanhängsel des Dickdarms auf dem Boden einer Torsion oder einer Thrombose innerhalb der dort verlaufenden Venen. Die Erkrankung gilt im Allgemeinen als harm-los und selbs...

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Bibliographic Details
Main Author: Kindermann, Julia
Contributors: Görg, Christian (Prof. Dr. med.) (Thesis advisor)
Format: Doctoral Thesis
Published: Philipps-Universität Marburg 2019
Online Access:PDF Full Text
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Epiploic appendagitis (Ea) is a rare, localized and painful disease. It is caused by an infection of the fatty tissue appendages of the large intestine due to a torsion of the veins within the appendages. Generally speaking it is a benign and self-limiting sickness. Within a period from 2003 to 2017 n=46 patients with a clinical and ultrasound diagnosis of Ea have been included in this study. Data concerning clinic, ultrasound pattern in b-mode and CEUS has been evaluated. In summary the high quality of the b-mode device, con-trast enhanced ultrasound, and clinical and ultrasound experience, allows a definite diagnosis of Ea. The absence of infectious laboratory findings is of special relevance for this disease pattern. In case of uncertainty, an ultra-sound follow-up study should be undertaken. A computer-assisted tomography (CAT scan) examination does not appear to be appropriate according to the findings of this study. Within the period of 14 years the clinical and sonographic diagnose is progressively acquaint¬ed and accepted. Fortunately, this observation is accompanied with a decline of completed CAT scans and correspondingly less radiation exposure during the observa-tion period.