Acute Epiploic Appendagitis as a Rare Case of Acute Abdomen: A Case Report

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Jin Yu Chieng, Yoong Fei Chiang, Yan Pan

Abstract


We reported the unusual case of a 39-year-old man, who presented to a private hospital located at Kuala Lumpur, Malaysia, with intense left iliac fossa abdominal pain. The diagnosis of acute epiploic appendagitis (EA) was made based on the computed tomography (CT) findings of a well-defined ovoid lesion of fat density at the junction of sigmoid and descending colon, with thin hyperdense rim, together with surrounding mesenteric fat, and thickening of the adjacent peritoneum. He was treated conservatively without surgery, and the pain subsided gradually. Our case reaffirmed that careful diagnosis is necessary to avoid invasive surgical interventions that are largely unnecessary as a treatment for acute EA.


Keywords


Abdominal pain, Acute epiploic appendagitis, Diagnosis, Computed tomography

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References


Dockerty MB, Lynn TE, Waugh JM, 1956, A Clinicopathologic Study of the Epiploic Appendages. Surg Gynecol Obstet, 103(4):423–33.

Danielson K, Chernin MM, Amberg JR, et al., 1986, Epiploic Appendicitis: CT Characteristics. J Comput Assist Tomogr, 10:142–3. DOI: 10.1097/00004728-198601000-00032.

Ozdemir S, Gulpinar K, Leventoglu S, et al., 2010, Torsion of the Primary Epiploic Appendagitis: A Case Series and Review of the Literature. Am J Surg, 199(4):453–58. DOI: 10.1016/j.amjsurg.2009.02.004.

Molla E, Ripolles T, Martinez M, et al., 1998, Primary Epiploic Appendagitis: US and CT Findings. Eur Radiol, 8(3):435–8. DOI: 10.1007/s003300050408.

Rao PM, Novelline RA, 1999, Case Report: Primary Epiploic Appendagitis. Radiology, 210:145–8. DOI: 10.1148/radiology.210.1.r99ja33145.

Rao PM, Wittenberg J, Lawrason JN, 1997, Primary Epiploic Appendagitis: Evolutionary Changes in CT Appearance. Radiology, 204:713–7. DOI: 10.1148/ radiology.204.3.9280248.

Sand M, Gelos M, Bechara FG, et al., 2007, Epiploic Appendagitis: Clinical Characteristics of an Uncommon Surgical Diagnosis. BMC Surg, 7:11. DOI: 10.1186/1471- 2482-7-11.

Choi YU, Choi PW, Park YH, et al., 2011, Clinical Characteristics of Primary Epiploic Appendagitis. J Korean Soc Coloproctol, 27(3):114–21.

Redmond P, Sawaya DE, Miller KH, et al., 2015, Epiploic Appendagitis: A Rare Cause of Acute Abdominal Pain in Children. Report of a Case and Review of the Pediatric Literature. Pediatr Emerg Care, 31(10):717–9. DOI: 10.1097/pec.0000000000000565.

Lien WC, Lai TI, Lin GS, et al., 2004, Epiploic Appendagitis Mimicking Acute Cholecystitis. Am J Emerg Med, 22(6):507–8.

Ortega-Cruz HD, Martínez-Souss J, Acosta-Pumarejo E, et al., 2015, Epiploic Appendagitis, an Uncommon Cause of Abdominal Pain: A Case Series and Review of the Literature. P R Health Sci J, 34(4):219–21.

Marco DS, Francesca I, Piero T, et al., 2019, Acute Epiploic Appendagitis: A Nonsurgical Abdominal Pain. Case Rep Emerg Med, 2019:7160247.

Ajay KS, Debra AG, Peter FH, et al., 2005, Acute Epiploic Appendagitis and its Mimics. RadioGraphics, 25(6):1521–34.

Han Q, Nair RT, DiSantis DJ, 2016, The Hyperattenuating Ring Sign of Acute Epiploic Appendagitis. Abdom Radiol, 41(7):1431–2. DOI: 10.1007/s00261-016-0641-y.




DOI: http://dx.doi.org/10.18063/ghl.v2i2.261

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