Primary XXXX : clinical features in 73 cases.

@entity3314 @entity1 @entity490 @entity14162
UNASSIGNED: Primary @entity14162 is a relatively rare disease in the differential diagnosis of acute abdomen, nonetheless it is an entity that should not be ignored by physicians and surgeons in order to prevent unnecessary interventions and overuse of antibiotics. To substantiate this concept a search was conducted at the Hospital Aleman, Buenos Aires between April 2007 and July 2013. The aim was clinical histories containing sonographic and tomographic images with diagnosis of @entity3314 ; and subsequently their electronic medical records were reviewed. The clinical features and outcome of a case series of 73 primary @entity3314 were selected; the mean age was 45 years (   16); 54 (74%) were @entity1 . @entity490 (left lower quadrant in 89% of cases) was the most common symptom. Abdominal ultrasound was performed on 44 (60%) of @entity1 , computed tomography on 21 (29%), and both studies on 8 (11%) of cases in this series. In 49% of cases surgery consultation was requested. Fifteen @entity1 (21%) were treated with antibiotics, 73% of them were prescribed by a clinician. Sixty seven @entity1 (92%) were treated as outpatients with non steroidal anti-inflammatory drugs (NSAIDs); two required laparoscopic surgery, two required hospitalization and two others were treated with opioids. Epiploic apendagitis is uncommon in the differential diagnosis of acute abdomen, but is an entity that should not be ignored by physicians to prevent unnecessary interventions and overuse of antibiotics.
