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Acute epiploic appendigitis: Diagnostic and laparoscopic approach

INTRODUCTION: Acute epiploic appendagitis is a relatively rare disease that mimics a varied number of diseases. PRESENTATION OF CASE: In this paper we report a 24-year-old male who presented with epiploic appendagitis that might have been misdiagnosed by physicians due to its equivocal presentation...

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Detalles Bibliográficos
Autores principales: Tabbara, Toufik A., Alassaf, Omar Y., Kaouas, Mujtaba C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5910502/
https://www.ncbi.nlm.nih.gov/pubmed/29505992
http://dx.doi.org/10.1016/j.ijscr.2018.02.003
Descripción
Sumario:INTRODUCTION: Acute epiploic appendagitis is a relatively rare disease that mimics a varied number of diseases. PRESENTATION OF CASE: In this paper we report a 24-year-old male who presented with epiploic appendagitis that might have been misdiagnosed by physicians due to its equivocal presentation imitating more common acute abdominal conditions like acute appendicitis or acute diverticulitis depending on the site of the inflamed appendage. DISCUSSION: The clinical presentation, investigations findings and both conservative and surgical interventions of the patient are mentioned within the report. CONCLUSION: Radiological imaging like enhanced CT scan of the abdomen has an important role in differentiating acute epiploic appendigitis from other acute abdominal conditions along with the proper physical examination, thus promoting conservative management and avoiding surgery. However, failure of conservative management might lead to the surgical intervention.