Flores SLO, González TJ, Reyna SFJ, Muñoz MGE

Language: Spanish
References: 10
Page: 115-119
PDF size: 243.43 Kb.

ABSTRACT

Primary epiploic appendagitis is a rare cause of abdominal pain that may mimic any other acute abdomen condition. This makes its diagnosis a real challenge for physicians. Here is a 22 years-old male patient, with no significant history of diseases, who were admitted to the emergency room because he had suffered abdominal pain for 36 hours. The physical exam revealed pain on palpating the right flank. He underwent a contrasted computed tomography of abdomen which showed a rounded image with hyperdense halo, fat plane effacement and inflammatory changes around, which was unrelated to another abdominal organ. These findings allowed diagnosing primary epiploic appendagitis. The patient was hospitalized for pain management and was discharged 48 hours later with clinical improvement and no symptoms. Primary epiploic appendagitis is infrequent cause of abdominal pain, however, we consider that it is important to know it so as to avoid diagnostic and therapeutic mistakes that might unnecessarily increase morbidity and the inadequate use of antibiotics and of hospital resources.

REFERENCES

1. Lorente C, Hearne C, Taboada J. Recurrent epiploic appendagitis mimicking appendicitis and cholecystitis. Proc (Bayl Univ Med Cent). 2017[citado 18 agosto 2017];30(1):44-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5242110/

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[citado 18 agosto 2017];31(3):235-7. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4852085/

3. Ozdemir S, Gulpinar K, Leventoglu S, Uslu H, Turkoz E, Ozcay N. Torsion of the primary epiploic appendagitis: a case series and review of the literature. Ann J Surg. 2010[citado 18 agosto 2017];199:453-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/19520357

4. Almuhanna A, Alghamdi Z, Alshammari E. Acute epiploic appendagitis: A rare cause of acute abdomen and a diagnostic dilemma. J Fam Comm Med. 2016[citado 18 agosto 2017];23:48-50. Disponible en: http://www.jfcmonline.com/article.asp?issn=2230- 8229;year=2016;volume=23;issue=1;spage=48;epage=50;aulast=Almuhanna

5. Han Q, Nair R, DiSantis D. The hyperattenuating ring sign of acute epiploic appendagitis. Abdom Radiol. 2016[citado 18 agosto 2017];41(7):1431-2. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27315096

6. Dali N, Ali A, Marzouk I, Moussa M, Manamani A, Farhat L, et al. Acute epiploic appendagitis: Radiologic and clinical features of 12 patients. Int J Surg Case Rep. 2016[citado 18 agosto 2017];28:219-22. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5065630/

7. Kumar R, Bamfort R, Kumar D, Singh-Ranger G. Appendagitis following Diagnostic Laparoscopy and Laparoscopic Appendicectomy. Case Rep Surg. 2016[citado 18 agosto 2017];2016:1-2. Disponible en: https://www.hindawi.com/journals/cris/2016/6973061/

8. Kessler S, Martin G. Epiploic Appendagitis: A Benign Process at Risk of Unnecesary Hospitalización and Interventions. J Gen Intern Med. 2016[citado 18 agosto 2017]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27995428

9. Tachamo N, Timilsina B, Nazir A, Lohani S. Abdominal pain – learning when not to intervene!. J Community Hosp Internal Med Perspect. 2016[citado 18 agosto 2017];6(6):329-60. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5161783/

10. Casey S, DiVito J, Lupow J, Gulani R. An Uncommon Case of Acute Abdominal Pain: Primary Epiploic Appendagitis in the Emergency Setting. EJBM. 2016[citado 18 agosto 2017];31(1&2). Disponible en: https://www.einstein.yu.edu/uploadedFiles/Pulications/EJBM/Primary%20Epiploic%20App endagitis%20in%20Emergency%20Setting(2).pdf