Primary inflammation of an epiploic appendix of the ascending colon. Is atypical presentation a reason for emergency laparotomy?
Τίτλος | Primary inflammation of an epiploic appendix of the ascending colon. Is atypical presentation a reason for emergency laparotomy? |
Publication Type | Journal Article |
Year of Publication | 2010 |
Authors | Kambaroudis, A., Papadopoulos S., Arapoglou S., Fragandreas G., AlMogrampi S., & Gerasimidis T. |
Journal | Chirurgia (Bucur) |
Volume | 105 |
Issue | 4 |
Pagination | 551-4 |
Date Published | 2010 Jul-Aug |
ISSN | 1221-9118 |
Λέξεις κλειδιά | Abdominal Pain, Appendicitis, Colon, Ascending, Diagnosis, Differential, Emergency Treatment, Female, Humans, Laparotomy, Middle Aged, Omentum, Peritoneal Diseases, Treatment Outcome |
Abstract | Right lower quadrant pain is a very common symptom in everyday clinical practice, and of variable etiology. In patients arriving in the emergency room with sudden-onset right lower quadrant pain, the commonest cause is acute appendicitis. Primary epiploic appendagitis, a rare entity, with a clinical presentation similar to other causes of acute abdomen, and one that subsides spontaneously, can constitute a problem in differential diagnosis, because it is a condition best treated conservatively. The exact diagnosis is a prerequisite for conservative treatment. We present the case of a 62 year old woman with primary epiploic appendagitis of the ascending colon that presented as acute abdomen, who underwent an exploratory laparotomy with the preoperative diagnosis of acute appendicitis. |
Alternate Journal | Chirurgia (Bucur) |
PubMed ID | 20941981 |