Gastrohepatic ligament appendagitis
Updates to Study Attributes
Focal infiltrative process in the perigartric fat with a small hypoechoic focus at its centre, corresponding to an infarcted vessel.
The appearance is characteristic of appendagitis and concordant with the finding shown in the CT study.
Image ( destroy )
Updates to Study Attributes
Focal infiltrativefatty process in the perigastricgastrohepatic ligament, containing a hypoechoic focus at its centrecenter, likely representing an infarcted vessel - appearance characteristic of appendagitis and consistent with the finding on the CT scanstudy.
Updates to Study Attributes
Fat-density structure in the gastrohepatic ligament with a vessel coursing through it and surrounding fat stranding.
Updates to Case Attributes
It's not unusual for the radiologist to come up empty-handed when checking an abdominal CT scan for the etiology of localised pain.That said, paying special attention to often-neglected anatomical areas (e.g. mesenteries and peritoneal reflections) after the usual suspects have been ruled out can sometimes pay out.
In contradistinction to epiploic appendagitis and omental infarction, perigastric appendagitis1 is a rare entity. It is also probably underdiagnosed. It should, however, be sought in cases of upper abdominal pain where no other "culprit" has been implicated, especially when blood work comes back normal.
-<p>It's not unusual for the radiologist to come up empty-handed when checking an abdominal CT scan for the etiology of localised pain.<br>That said, paying special attention to often-neglected anatomical areas (e.g. <a title="Mesenteries" href="/articles/mesentery">mesenteries</a> and peritoneal reflections) after the usual suspects have been ruled out can sometimes pay out.</p><p>In contradistinction to <a title="Epiploic appendagitis" href="/articles/epiploic-appendagitis">epiploic appendagitis</a> and <a title="Omental infarction" href="/articles/omental-infarction">omental infarction</a>, perigastric appendagitis is a rare entity. It is also probably underdiagnosed. It should, however, be sought in cases of upper abdominal pain where no other "culprit" has been implicated, especially when blood work comes back normal.</p>- +<p>It's not unusual for the radiologist to come up empty-handed when checking an abdominal CT scan for the etiology of localised pain.<br>That said, paying special attention to often-neglected anatomical areas (e.g. <a href="/articles/mesentery">mesenteries</a> and peritoneal reflections) after the usual suspects have been ruled out can sometimes pay out.</p><p>In contradistinction to <a href="/articles/epiploic-appendagitis">epiploic appendagitis</a> and <a href="/articles/omental-infarction">omental infarction</a>, <a title="Perigastric appendagitis" href="/articles/perigastric-appendagitis">perigastric appendagitis</a> <sup>1</sup> is a rare entity. It is also probably underdiagnosed. It should, however, be sought in cases of upper abdominal pain where no other "culprit" has been implicated, especially when blood work comes back normal.</p>
References changed:
- 1. Justaniah AI, Scholz FJ, Katz DS, Scheirey CD. Perigastric appendagitis: CT and clinical features in eight patients. (2014) Clinical radiology. 69 (12): e531-7. <a href="https://doi.org/10.1016/j.crad.2014.08.020">doi:10.1016/j.crad.2014.08.020</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25278036">Pubmed</a> <span class="ref_v4"></span>
- Justaniah AI, Scholz FJ, Katz DS, Scheirey CD. Perigastric appendagitis: CT and clinical features in eight patients. (2014) Clinical radiology. 69 (12): e531-7. <a href="https://doi.org/10.1016/j.crad.2014.08.020">doi:10.1016/j.crad.2014.08.020</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25278036">Pubmed</a> <span class="ref_v4"></span>
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