García-Bravo LM, Salazar-Koelliker A, García-González RI, Rivera-Pérez VA, López-Rodríguez EPG

Language: Spanish
References: 7
Page: 44-47
PDF size: 574.96 Kb.

ABSTRACT

The epiploic appendices are fatty structures between 5 and 50 mm that protrude from the serous surface of the colon, from cecum to sigmoid. Its function is unknown. They are believed to exert a defensive mechanism during peristalsis. The torsion occurs spontaneously producing the strangulation of the pedicle and its infarction. CT is the method of choice for diagnosis. Surgical intervention is not ruled out and the diagnosis is confirmed during surgery. We present the case of a 42-year-old male with morbid obesity who presented with acute abdominal pain in the right iliac fossa, nausea, loss of appetite and fever. Surgery was performed in which inflammation of ischemic epiploic appendix was evidenced and resected. Epiploic appendagitis is a self-limited pathology, manifested with abdominal pain suggestive of appendicitis or diverticulitis. Computed tomography is the diagnostic method of choice. Surgical treatment is only indicated in cases such as the one presented, with persistent abdominal pain and localized reaction

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