Akut Karını Taklit Eden Primer Epiploik Apandisit: İki Olgu Sonumu

Yıl 2016, Cilt: 6 Sayı: 1, 43 - 46, 26.02.2016

Erdinc Yenidogan Hüseyin Ayhan Kayaoglu İsmail Okan Servet Tali Zeki Ozsoy Mustafa Sahin

https://doi.org/10.16899/ctd.11861

Öz

Primer  epiploik apandisit nadir görülen bi durumdur. Burada akut batın bulgularıyla karşımıza çıkan 2 adet olguyu sunmak istedik. Heriki hastaya da şüpheli akut batın bulgularından dolayı bilgisayarlı batın tomografisi çekildi. BT' de kolon segmentlerinin serozal yüzeyindeki apandiks epiploikalarda enfeksiyon saptandı. Hastalara konservatif yaklaşımla, analjezik ve antibiyotik tedavisi başlandı. Semptomlarda 1 hafta içerisinde gerileme oldu. Preoperatif BT bulguları ile konservatif tedavi verilebilir ve gereksiz cerrahinin önüne geçilebilir. Bilgisayarlı batın tomografisi ile erken radyolojik değerlendirme tanıda anahtar role sahip olup heriki hastada da gereksiz cerrahiden kaçınılmasına olanak sağlamıştır.

 

Anahtar Kelimeler

Epiploik apandisit, bilgisayarlı batın tomografisi, konservatif tedavi

Primary Appendicitis Epiploicae Mimicking Acute Abdomen: Report Of Two Cases

Öz

Primary appendicitis epiploicae is a rare condition. Here, we present two cases, both with clinical signs of acute abdomen. Two patients with dubious findings of acute abdomen underwent abdominal CT. Both CT revealed appendicitis epiploicae on the serosal surface of colonic segments. Both patients received conservative treatment with pain medication, antibiotics and symptoms subsided within a week. Preoperative CT findings confirming the conservative medical management with CT findings can prevent unnecessary surgery. Early radiologic examination with an abdominal CT scan is key in making the diagnosis and potentially avoiding unnecessary surgery in such cases.

 

Anahtar Kelimeler

Appendicitis epiploicae, abdominal computer tomography, conservative treatment,

Kaynakça

• Hurreiz HS, Madavo CM. Torsion of an epiploic appendix mimicking acute appendicitis. Saudi Med J. 2005;26(12):2003-4.
• Sand M, Gelos M, Bechara FG, Sand D, Wiese TH, Steinstraesser L, et al. Epiploic appendagitis--clinical characteristics of an uncommon surgical diagnosis. BMC Surg. 2007;7:11.
• Christianakis E, Paschalidis N, Filippou G, Smailis D, Chorti M, Rizos S, et al. Cecal epiploica appendix torsion in a female child mimicking acute appendicitis: a case report. Cases J. 2009;2:8023.
• Sing AK, Gervais DA, Hahn PF, Sagar P, Mueller PR, Noveline RA. Acute epiploic appendagitis and its mimics. Radiographics. 2005;25(6):1521-34.
• Unal E, Yankol Y, Sanal T, Haholu A, Buyukdogan V, Ozdemir Y. Laparoscopic resection of a torsioned appendix epiploica in a previously appendectomized patient. Surg Laparosc Endosc Percutan Tech. 2005;15(6):371-3.
• Hapuarachchi KS, Courtney ED, Gergely S, Tang TY. Torsion of parietal-peritoneal fat mimicking acute appendicitis: a case report. J Med Case Rep. 2009;3:6980.
• Khizer M, Ram S, Khan AM. A rare cause of right iliac fossa pain. J Indian Assoc Pediatr Surg. 2009;14(1):34-5.
• Van Breda Vriesman AC, Puylaert JB. Epiploic appendagitis and omental infarction: pitfalls and look-alikes. Abdom Imaging. 2002;27(1):20-8.
• Golash V, Willson PD. Early laparoscopy as a routine procedure in the management of acute abdominal pain: a review of 1,320 patients. Surg Endosc. 2005;19(7):882-5.
• Kim J, Kim Y, Cho OK, Rhim H, Koh BH, Kim YS, et al. Omental torsion: CT features. Abdom Imaging. 2004;29(4):502-4.