A pediatric case report of Epiploic appendagitis presented with abdominal pain
| Autor: | Mazen Zidan, Ohoud Baajlan, Khalid A. Al-Ghamdi, Hotoun Fayez Bokhari |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Abdominal pain business.industry Ischemia medicine.disease Appendicitis Thrombosis Article Surgery Epiploic appendagitis 03 medical and health sciences Quadrant (abdomen) 0302 clinical medicine Lumbar 030220 oncology & carcinogenesis Case report Medicine 030211 gastroenterology & hepatology Fat necrosis medicine.symptom business Computed tomography |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Epiploic Appendages are mobile, pedunculated pouches. • It’s a self-limited condition that could occur due to torsion or thrombosis of its vessels. • The Patient’s complaint may be subacute lower abdominal pain, left-sided in in most cases. • Early recognition of this condition is crucial to avoid an operation when unnecessary leading to prolonged hospital stays. Introduction Epilopic appendagitis (EA) is an uncommon condition of abdominal pain caused by the local inflammation of the fat-filled peritoneal outpouchings due to torsion or thrombosis of its vessels leads to ischemia and gangrenous necrosis of the aappendages, as it can cause peritoneal irritation, acute ischemia, and fat necrosis. Case report We present a case of epilopic appendagitis mimicking appendicitis of a 10 years old male, presented to the emergency department with severe right quadrant pain pointedly at the right lumbar area. Associated with constipation and nausea for once. Computed tomography (CT) scan with contrast was performed showing an ovoid fat structure with thin enhancing rim and surrounding inflammatory stranding as well as prominent lymph nodes at hepatic flexure, free fluid and no evidence of appendicitis. The patient was discharged with pain control medications. Discussion Epiploic Appendages are mobile, pedunculated peritoneal out pouches. Considering its mobility and narrow pedicle appendages are disposed to torsion leading to appendagitis causing local inflammation, peritoneal irritation, acute ischemia, and fat necrosis. The patient’s main complaint would be a subacute lower abdominal pain, left-sided in 60–80% of cases. Conclusion Early recognition of this condition is crucial to avoid an operation when unnecessary leading to prolonged hospital stays. The management is conservative with analgesic. |
| Databáze: | OpenAIRE |
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