Acil Servise Karın Ağrısı ile Başvuran Hastada Akla Getirilmesi Gereken Bir Tanı: Primer Epiploik Apandisit

Abstract

Primer epiploik apandisit (PAE); kolonun mekanik koruma ve peristatik harekete yardımcı olmak ile görevli epiploik apendikslerinin torsiyonu, infarktı ve inflamasyonu sonucu ortaya çıkmaktadır. Fizik muayene ve laboratuar bulguları ile acil cerrahi müdahale gerektiren çeşitli akut karın tablolarını taklit etmekle birlikte sıklıkla medikal tedavinin yeterli ve başarılı olduğu benign seyirli bir hastalıktır. Gereksiz cerrahi müdahalelerin önlenmesi için hızlı ve doğru tanı önemlidir. Tanıda tomografi altın standarttır. Olgu sunumumuzda karın ağrısı ve bulantı ile acil servisimize başvuran PAE tanısı koyduğumuz ve konservatif yöntemler ile başarı ile tedavi edilmiş bir hastamız ele alınmıştır.

Keywords

• Karın ağrısı
• Akut karın
• Primer Epiploik Apandisit

A Diagnosis That Should be Considered in Patients Coming to The Emergency with Abdominal Pain: Primary Appendagitis Epiploica

Abstract

Primary appendagitis epiploica (PAE) occurs as a result of torsion, infarction and inflammation of the epiploic appendages of the colon, which are responsible for mechanical protection and assisting peristatic movement. With physical examination and laboratory findings, it can imitate various acute abdomen conditions that require urgent surgical intervention. It is a benign disease in which medical treatment is often sufficient and successful. Prompt and accurate diagnosis is important to prevent unnecessary surgical interventions. Tomography is the gold standard in diagnosis. In our case report, a patient who applied to our emergency department with abdominal pain and nausea, diagnosed with PAE and successfully treated with conservative methods is discussed.

Keywords

• Stomachache
• Acute abdomen
• Primary appendagitis epiploica

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