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Epiploic appendagitis (EA) is an uncommon, benign, self-limiting inflammatory process of the epiploic appendices. Other, older terms for the process include appendicitis epiploica and appendagitis , but these terms are used less now in order to avoid confusion with acute appendicitis .
The epiploic appendices (or appendices epiploicae, or epiploic appendages, or appendix epiploica, or omental appendices) are small pouches of the peritoneum filled with fat and situated along the colon, but are absent in the rectum. They are chiefly appended to the transverse and sigmoid parts of the colon, however, their function is unknown.
The standard treatment for acute appendicitis involves the surgical removal of the inflamed appendix. [ 6 ] [ 12 ] This procedure can be performed either through an open incision in the abdomen ( laparotomy ) or using minimally invasive techniques with small incisions and cameras ( laparoscopy ).
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No free fluid. Along the distal descending colon, there is a focal segment of colon with adjacent moderate focal stranding. Centered in the area of stranding, there is an ovoid focus of fat attenuation, with linear density seen within it. This is most consistent with an inflamed EPIPLOIC APPENDAGE in the setting of epiploic appendagitis.
In human anatomy, the omental foramen (epiploic foramen, foramen of Winslow after the anatomist Jacob B. Winslow, or uncommonly aditus; Latin: Foramen epiploicum) is the passage of communication, or foramen, between the greater sac, and the lesser sac of the peritoneal cavity.
Scrotal ultrasonography of an 85-year-old man with hydrocele, making the appendix of the testicle clearly distinctive as a 4 mm outpouching at upper right in image. Doppler shows some blood flow.