Case Report
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Year 2024, , 42 - 44, 28.06.2024
https://doi.org/10.33706/jemcr.1452216

Abstract

References

  • 1. Singh AK, Gervais DA, Hahn PF, Sagar P, Mueller PR, Novelline RA. Acute epiploic Appendagitis and its mimics. Radiographics. 2005; 25:1521–1534.
  • 2. Almeida AT, Melão L, Viamonte B, Cunha R, Pereira JM. Epiploic appendagitis: an entity frequently unknown to clinicians—diagnostic imaging, pitfalls, and look-alikes. AJR Am J Roentgenol2009;193:1243–1251.
  • 3. Lynn TE, Dockerty MB, Waugh JM. A clinicopathologic study of the epiploic appendages. SurgGynecol Obstet. 1956;103:423–33.
  • 4. Ghahremani GG, White EM, Hoff FL, Gore RM, Miller JW, Christ ML. Appendices epiploicae of the colon: radiologic and pathologic features. Radiographics1992;12:59–77.
  • 5. Pereira JM, Sirlin CB, Pinto PS, Jeffrey RB, Stella DL, Casola G. Disproportionate fat stranding: a helpful CT sign in patients with acute abdominal pain. Radiographics 2004; 24:703–715.
  • 6. Ortega-Cruz HD, Martinez-Souss J, Acosta-Pumarejo E, Toro DH. Epiploic appendagitis, an uncommon cause of abdominal pain: a case series and review of the literature. P R Health Sci J 2015; 34:219–221
  • 7. Chen JH, Wu CC, Wu PH. Epiploic appendagitis: an uncommon and easily misdiagnosed disease. J Dig Dis 2011;12:448–452.
  • 8. Ergelen R, Asadov R, Özdemir B, Tureli D, Demirbaş BT, Tuney D. Computed tomography findings of primary epiploic appendagitis as an easily misdiagnosed entity: case series and review of literature. Ulus TravmaAcilCerrahiDerg2017;23:489–494.

A Prodigious Diagnosis of Acute Epiploic Appendagitis: A Rare Case Report

Year 2024, , 42 - 44, 28.06.2024
https://doi.org/10.33706/jemcr.1452216

Abstract

Introduction: Appendices Epiploicae, also referred as Epiploic appendages, are 50-100 fat filled finger like projection from the serosal surface of large intestine. Epiploic Appendagitis is a self-limiting, benign disease process which results from the inflammation of these Appendices Epiplocae or thrombosis of the draining vein of Appendices Epiplocae.
Case Report: We report a case of 49 year old female, generally well, presented to the Emergency Department with complaints of a painful lump in her left iliac fossa growing in size for last four weeks. She presented to us because of acute increase in size and pain, resulting in significant discomfort. Owing to her history of cervical intra epithelial neoplasia we arranged a CT abdomen and pelvis with contrast fearing some sinister underlying ongoing pathology causing her symptoms. But to our surprise CT reported a underrated cause of her abdominal pain, Epiploic Appendagitis (EA). We were surprised of her presentation as a hard abdominal lump which was quite unusual for EA to present as. We assume it was secondary to an extensive underlying local inflammatory reaction. Patient was reassured and treated with NSAID, antibiotics and follow up with surgery ambulatory care.
Conclusion: We authors are reporting this case of primary epiploic appendagitis because we think every emergency and primary care physicians should be aware of this very rare condition which might present to emergency as an acute abdominal presentation mimicking other common presentations like acute diverticulitis and acute appendicitis. Being aware of this condition is utmost important to diagnose it early and avoid more invasive surgical managements and unnecessary antibiotic usage.

References

  • 1. Singh AK, Gervais DA, Hahn PF, Sagar P, Mueller PR, Novelline RA. Acute epiploic Appendagitis and its mimics. Radiographics. 2005; 25:1521–1534.
  • 2. Almeida AT, Melão L, Viamonte B, Cunha R, Pereira JM. Epiploic appendagitis: an entity frequently unknown to clinicians—diagnostic imaging, pitfalls, and look-alikes. AJR Am J Roentgenol2009;193:1243–1251.
  • 3. Lynn TE, Dockerty MB, Waugh JM. A clinicopathologic study of the epiploic appendages. SurgGynecol Obstet. 1956;103:423–33.
  • 4. Ghahremani GG, White EM, Hoff FL, Gore RM, Miller JW, Christ ML. Appendices epiploicae of the colon: radiologic and pathologic features. Radiographics1992;12:59–77.
  • 5. Pereira JM, Sirlin CB, Pinto PS, Jeffrey RB, Stella DL, Casola G. Disproportionate fat stranding: a helpful CT sign in patients with acute abdominal pain. Radiographics 2004; 24:703–715.
  • 6. Ortega-Cruz HD, Martinez-Souss J, Acosta-Pumarejo E, Toro DH. Epiploic appendagitis, an uncommon cause of abdominal pain: a case series and review of the literature. P R Health Sci J 2015; 34:219–221
  • 7. Chen JH, Wu CC, Wu PH. Epiploic appendagitis: an uncommon and easily misdiagnosed disease. J Dig Dis 2011;12:448–452.
  • 8. Ergelen R, Asadov R, Özdemir B, Tureli D, Demirbaş BT, Tuney D. Computed tomography findings of primary epiploic appendagitis as an easily misdiagnosed entity: case series and review of literature. Ulus TravmaAcilCerrahiDerg2017;23:489–494.
There are 8 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Case Report
Authors

Ali Gür 0000-0002-7823-0266

Publication Date June 28, 2024
Submission Date March 13, 2024
Acceptance Date March 28, 2024
Published in Issue Year 2024

Cite

APA Gür, A. (2024). A Prodigious Diagnosis of Acute Epiploic Appendagitis: A Rare Case Report. Journal of Emergency Medicine Case Reports, 15(2), 42-44. https://doi.org/10.33706/jemcr.1452216
AMA Gür A. A Prodigious Diagnosis of Acute Epiploic Appendagitis: A Rare Case Report. Journal of Emergency Medicine Case Reports. June 2024;15(2):42-44. doi:10.33706/jemcr.1452216
Chicago Gür, Ali. “A Prodigious Diagnosis of Acute Epiploic Appendagitis: A Rare Case Report”. Journal of Emergency Medicine Case Reports 15, no. 2 (June 2024): 42-44. https://doi.org/10.33706/jemcr.1452216.
EndNote Gür A (June 1, 2024) A Prodigious Diagnosis of Acute Epiploic Appendagitis: A Rare Case Report. Journal of Emergency Medicine Case Reports 15 2 42–44.
IEEE A. Gür, “A Prodigious Diagnosis of Acute Epiploic Appendagitis: A Rare Case Report”, Journal of Emergency Medicine Case Reports, vol. 15, no. 2, pp. 42–44, 2024, doi: 10.33706/jemcr.1452216.
ISNAD Gür, Ali. “A Prodigious Diagnosis of Acute Epiploic Appendagitis: A Rare Case Report”. Journal of Emergency Medicine Case Reports 15/2 (June 2024), 42-44. https://doi.org/10.33706/jemcr.1452216.
JAMA Gür A. A Prodigious Diagnosis of Acute Epiploic Appendagitis: A Rare Case Report. Journal of Emergency Medicine Case Reports. 2024;15:42–44.
MLA Gür, Ali. “A Prodigious Diagnosis of Acute Epiploic Appendagitis: A Rare Case Report”. Journal of Emergency Medicine Case Reports, vol. 15, no. 2, 2024, pp. 42-44, doi:10.33706/jemcr.1452216.
Vancouver Gür A. A Prodigious Diagnosis of Acute Epiploic Appendagitis: A Rare Case Report. Journal of Emergency Medicine Case Reports. 2024;15(2):42-4.