Abstract
Epiploic appendagitis is a rare cause of acute abdomen. Depending on the onset point, it can imitate every cause of acute abdomen, colon disease, and cecal appendicitis, making the pre-operative diagnosis extremely difficult. The case of a young woman that came at the emergency department with a pain in the iliac fossa will be examined hereinafter. At first, the case has been incorrectly interpreted as an acute appendicitis and suddenly, after the surgical exploration, she has been found affected by cecal appendagitis. The epiploicae appendix has been removed together with the vermiform appendix through laparoscopy. We will check the related literature too and discuss the ways to solve this diagnostic dilemma. General surgeons must be aware of this disease and consider it in the differential diagnosis of the acute abdomen.
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References
Sand M, Gelos M, Bechara FG, Sand D, Wiese TH, Steinstraesser L, Mann B (2007) Epiploic appendagitis—clinical characteristics of an uncommon surgical diagnosis. BMC Surg 7(1):11
Ozdemir S, Gulpinar K, Leventoglu S, Uslu HY, Turkoz E, Ozcay N, Korkmaz A (2010) Torsion of the primary epiploic appendagitis: a case series and review of the literature. Am J Surg 199:453–458
Ross JA (1950) Vascular loops in the appendices epiploicae; their anatomy and surgical significance, with a review of the surgical pathology of appendices epiploicae. Br J Surg 37:464–466
Singh AK, Gervais DA, Hahn PF, Sagar P, Mueller PR (2005) Novelline RA Acute epiploic appendagitis and its mimics RadioGraphics, 25 (November (6)):1521-1534
Dockerty MB, Lynn TE, Waugh JM (1956) A clinicopathologic study of the epiploic appendages. Surg Gynecol Obstet 103(4):423–433
Fiordaliso M, De Marco AF, Costantini RA (2020) case of type 2 appendiceal diverticulum perforated and a review of the literature. Int J Surg Case Rep 77:450–453. https://doi.org/10.1016/j.ijscr.2020.10.114
Matos H, Costa I (2015 Dec) Primary epiploic appendagitis. Indian J Surg 77(Suppl 3):1395–1396. https://doi.org/10.1007/s12262-014-1037-2
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Fiordaliso Michele: Study design, data collection, writing.
Fiordaliso Michele, Ngjelina Jonel: Surgeons, who performed the operation.
De Marco Antonia Flavia: Data collection, writing.
Costantini Raffaele: Data collection, writing.
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Fiordaliso, M., Ngjelina, J., De Marco, F.A. et al. Torsion of Appendices Epiploicae (Appendagitis) Presenting as Appendicitis: Laparoscopic Diagnosis and Therapy. Indian J Surg 84, 355–357 (2022). https://doi.org/10.1007/s12262-021-02876-1
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DOI: https://doi.org/10.1007/s12262-021-02876-1