APPENDAGITIS EPIPLOICAE A BLUE MOON IN THE PANDORAS BOX OF THE GIT

Dr. Abhinav Balaji, Dr. P. Balaji, Dr. S. Selvakumar, Dr. S. Selvasankar

Abstract


Disorders of the epiploic appendages are rarely diagnosed preoperatively and usually result from torsion with subsequent infarction.No diagnostic test or clinical symptoms are pathognomonic of this entity, which is a disease of middle age and rarely life-threatening. The majority of  cases occur in the sigmoid colon and present with left sided abdominal pain. Acute torsion of an appendage usually manifests as localised abdominal pain in one of the lower quadrants. Untreated, peritonitis or intestinal obstruction may ensue. The surgical treatment of appendicitis epiploicae is simple ligation and excision if an intraoperative diagnosis is made. We report a 65 year old female who presented with symptoms of left lower quadrant pain in the abdomen and with features of sub acute intestinal obstruction .The suspicion of epiploic appendagitis was established by the findings of a contrast-study computed tomography of the abdomen. A diagnostic laparoscopy was subsequently performed due to clinical deterioration of the abdominal pain despite antibiotic coverage. An infarcted epiploic appendage of the sigmoid colon was revealed, which was removed laparoscopically.


Keywords


EPIPLOIC APPENDAGE , APPENDAGITIS EPIPLOICAE , ACUTE ABDOMEN, SEROSAL OUTPOUCHING

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References


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