Epiploik Apandisit: Nadir görülen bir akut karın ağrısı vakası

Year 2018, Volume: 1 Issue: 2, 30 - 32, 28.12.2018

Ömer Taşkın , Ayça Açıkalın Akpınar , Nezihat Rana Dişel

Abstract

Epiploik Apandisit (EA)
cerrahi akut batın ile karışabilen, appendiks epiploica’nın akut inflamasyonuna
bağlı bir durumdur. Biz bu yazıda sol alt kadran ağrısıyla acil servise
başvuran 22 yaşında bir erkek hastayı bildiriyoruz. Hastanın muayenesinde hafif
taşikardisi, hassasiyeti ve defansı vardı ve beyaz küresi yüksekti. Hastaya
bilgisayarlı tomografi kullanılarak epiploik apandisit tanısı konuldu. Hasta
ağrı kontrolü ve takip için genel cerrahi servisine yatırıldı. Herhangi bir
komplikasyon veya cerrahi operasyon olmadan taburcu edildi. Epiploik apandisit
bulantı, kusma, ateş gibi bulguları olmayan izole karın ağrılı hastalarda akla
gelmesi gereken bir durumdur. Bu yazıyı yazmaktaki amacımız karın ağrılı
hastalarda bu tanıyı da hatırlatmak ve hastalara gereksiz cerrahi girişimi
önlemektir.    

Keywords

epiploik apandisit, cerrahi acil, karın ağrısı

Epiploic Appendagitis: A rare case of acute abdominal pain

Abstract

Epiploic appendagitis
(EA) is a rare condition caused by the acute inflammation of an appendix
epiploica which may interfere with the causes of acute surgical abdominal pain.
Here we report a 22-year-old male who applied to the emergency room with an
abdominal pain in left lower quadrant. He had a mild tachycardia, tenderness
and guarding on the physical examination and elevated white blood cell count.
The patient was diagnosed with EA which was confirmed by computed tomography.
The patient was then hospitalized in general surgery clinic for pain management
and follow up. The patient was discharged from hospital without any operative
treatment or further complications. Epiploic appendagitis should be considered
in patients with isolated abdominal pain without symptoms such as nausea,
vomiting, fever. Our goal by reporting this case is to remind this diagnosis
and prevent patients from unnecessary surgery.    

Keywords

epiploic appendagitis, surgical emergency, abdominal pain

References

• 1. Almeida AT, Melão L, Viamonte B, et al. Epiploic Appendagitis: An Entity Frequently Unknown to Clinicians—Diagnostic Imaging, Pitfalls, and Look-Alikes. American Journal of Roentgenology. 2009;193(5):1243-51.
• 2. Smereczyński A, Kołaczyk K, Bernatowicz E. Intra-abdominal fat. Part II: Non-cancerous lesions of the adipose tissue localized beyond organs. Journal of Ultrasonography. 2016;16(64):32-43.
• 3. Sand M, Gelos M, Bechara FG, et al. Epiploic appendagitis--clinical characteristics of an uncommon surgical diagnosis. BMC Surg. 2007;7:11.
• 4. Tachamo N, Timilsina B, Nazir S, et al. Abdominal pain - learning when not to intervene! J Community Hosp Intern Med Perspect. 2016;6(6):32960.
• 5. Schnedl WJ, Krause R, Tafeit E, et al. Insights into epiploic appendagitis. Nature Reviews Gastroenterology &Amp; Hepatology. 2010;8:45.
• 6. Ozkurt H, Karatag O, Karaarslan E, et al. CT findings in epiploic appendagitis. Surgery. 2007;141(4):530-2.
• 7. Cakiroglu B, Sinanoglu O, Abci İ, et al. An unusual cause of hematuria; primary epiploic appendagitis. International Journal of Surgery Case Reports. 2014;5(12):902-5.
• 8. Bastidas JG, Danzy LE, Blackwell L, et al. Epiploic appendagitis in a 24-year-old woman. The American Journal of Emergency Medicine. 2008;26(7):838.e1-.e2.