Vázquez-Estudillo G, Simón-Mendoza A, Larracilla-Salazar I, Rosas-Nicolás BJ

Language: Spanish
References: 7
Page: 58-61
PDF size: 234.40 Kb.

ABSTRACT

Background: Epiploic appendices are pediculated, serosa-coated fat formations that are found on the outer surface of the colon, into the peritoneal cavity; their inflammation, torsion or infarction is also known as epiploic appendicitis or appendagitis. Clinical case: We present the case of a 35-year-old man who went to the Emergency Service of the High Specialty Naval General Hospital because of sudden onset, progressive right iliac fossa pain, which was approached with laboratory and cabinet studies, integrating the diagnosis of probable acute appendicitis; surgical application sheets and informed consent were filled to perform open appendectomy, incidentally finding a cecal appendix 5 cm × 1 cm in diameter, with normal macroscopic characteristics, and infarction of ascending colon epiploic appendix at the ileocecal valve. Conclusion: This case is presented to highlight the clinical characteristics of appendagitis or epiploic appendicitis, which can help clinicians suspect this benign pathology and reach the correct diagnosis, avoiding unnecessary surgical risk.

REFERENCES

1. Rodríguez-Gandía MA, Moreira-Vicente V, Gallego-Rivera I, Rivero-Fernández M, Garrido-Gómez E. Apendicitis epiploica: la otra apendicitis. Gastroenterol Hepatol. 2008; 31 (2): 98-103.

2. Gourgiotis S, Oikonomou C, Veloudis G, Lardou I, Pittaras G, Villias C. The diagnostic dilemma of primary epiploic appendagitis and how to establish a diagnosis. Oman Med J. 2016; 31 (3): 235-237.

3. Clement Z. Atypical presentations of epiploic appendagitis: early diagnosis and non-operative management is the optimal therapy. Gastroenterology Res. 2012; 5 (2): 79-81.

4. Cho MS, Hwang-Bo S, Choi UY, Kim HS, Hahn SH. A case of epiploic appendagitis with acute gastroenteritis. Pediatr Gastroenterol Hepatol Nutr. 2014; 17 (4): 263-265.

5. Matos H, Costa I. Primary epiploic appendagitis. Indian J Surg. 2015; 77 (Suppl 3): 1395-1396.

6. Cakiroglu B, Sinanoglu O, Abci İ, Tas T, Dogan AN, Aksoy SH et al. An unusual cause of hematuria; primary epiploic appendagitis. Int J Surg Case Rep. 2014; 5 (12): 902-905.

7. Kumar R, Bamford RF, Kumar D, Singh-Ranger G. Appendagitis following diagnostic laparoscopy and laparoscopic appendicectomy. Case Rep Surg. 2016; 2016: 6973061.