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Gangrenous epiploic appendagitis of sigmoid: a rare cause of acute right iliac fossa pain
A 42-year-old lady presented to emergency department with a 3 days history of right-sided abdominal pain. She was afebrile, haemodynamically unstable and the initial diagnosis was acute abdomen with unknown pathology. The CT abdomen/pelvis done, which showed well-defined fatty texture at right lower...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416822/ https://www.ncbi.nlm.nih.gov/pubmed/30891178 http://dx.doi.org/10.1093/jscr/rjz072 |
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author | Aljohani, Emad Alotaibi, Atheer S |
author_facet | Aljohani, Emad Alotaibi, Atheer S |
author_sort | Aljohani, Emad |
collection | PubMed |
description | A 42-year-old lady presented to emergency department with a 3 days history of right-sided abdominal pain. She was afebrile, haemodynamically unstable and the initial diagnosis was acute abdomen with unknown pathology. The CT abdomen/pelvis done, which showed well-defined fatty texture at right lower quadrant suggestive of an epiploic appendagitis and left adnexal cyst. The patient failed to improve on conservative management, diagnostic laparosocopy showed gangrenous sigmoid epiploic appendigitis adherent to the right lower quadrant. Excision of the gangrenous appendigitis done along with deroofing of left ovarian cyst. Postoperatively the patient significantly improved and discharged home. This case is an extremely rare case of right lower quadrant pain. It demonstrates the importance diagnostic laparoscopy in all patients failed to improve on conservative management with presumed appendigitis. |
format | Online Article Text |
id | pubmed-6416822 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-64168222019-03-19 Gangrenous epiploic appendagitis of sigmoid: a rare cause of acute right iliac fossa pain Aljohani, Emad Alotaibi, Atheer S J Surg Case Rep Case Report A 42-year-old lady presented to emergency department with a 3 days history of right-sided abdominal pain. She was afebrile, haemodynamically unstable and the initial diagnosis was acute abdomen with unknown pathology. The CT abdomen/pelvis done, which showed well-defined fatty texture at right lower quadrant suggestive of an epiploic appendagitis and left adnexal cyst. The patient failed to improve on conservative management, diagnostic laparosocopy showed gangrenous sigmoid epiploic appendigitis adherent to the right lower quadrant. Excision of the gangrenous appendigitis done along with deroofing of left ovarian cyst. Postoperatively the patient significantly improved and discharged home. This case is an extremely rare case of right lower quadrant pain. It demonstrates the importance diagnostic laparoscopy in all patients failed to improve on conservative management with presumed appendigitis. Oxford University Press 2019-03-14 /pmc/articles/PMC6416822/ /pubmed/30891178 http://dx.doi.org/10.1093/jscr/rjz072 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Aljohani, Emad Alotaibi, Atheer S Gangrenous epiploic appendagitis of sigmoid: a rare cause of acute right iliac fossa pain |
title | Gangrenous epiploic appendagitis of sigmoid: a rare cause of acute right iliac fossa pain |
title_full | Gangrenous epiploic appendagitis of sigmoid: a rare cause of acute right iliac fossa pain |
title_fullStr | Gangrenous epiploic appendagitis of sigmoid: a rare cause of acute right iliac fossa pain |
title_full_unstemmed | Gangrenous epiploic appendagitis of sigmoid: a rare cause of acute right iliac fossa pain |
title_short | Gangrenous epiploic appendagitis of sigmoid: a rare cause of acute right iliac fossa pain |
title_sort | gangrenous epiploic appendagitis of sigmoid: a rare cause of acute right iliac fossa pain |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416822/ https://www.ncbi.nlm.nih.gov/pubmed/30891178 http://dx.doi.org/10.1093/jscr/rjz072 |
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