An inflamed necrotic appendix epiploicum with immediate contact to a non-inflamed appendix vermiformis: a case report

<p>Abstract</p> <p>Introduction</p> <p>Epiploic appendagitis is a rare cause of focal abdominal pain which, depending on its localisation, can mimic a variety of abdominal diseases. We describe a patient with an inflamed necrotic appendix epiploicum with immediate conta...

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Main Authors: Sand Michael, Bonhag Gerd, Bechara Falk-Georges, Sand Daniel, Mann Benno
Format: Article
Language:English
Published: BMC 2009-02-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/3/1/57
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author Sand Michael
Bonhag Gerd
Bechara Falk-Georges
Sand Daniel
Mann Benno
author_facet Sand Michael
Bonhag Gerd
Bechara Falk-Georges
Sand Daniel
Mann Benno
author_sort Sand Michael
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Epiploic appendagitis is a rare cause of focal abdominal pain which, depending on its localisation, can mimic a variety of abdominal diseases. We describe a patient with an inflamed necrotic appendix epiploicum with immediate contact to a non-inflamed appendix vermiformis mimicking acute appendicitis. Considering the rare localization, this is the first report of this kind in the literature.</p> <p>Case presentation</p> <p>We present the case of a 50-year-old Caucasian man who presented with classic signs of acute appendicitis. On clinical exam, McBurney and Blumberg signs were positive. Additionally he had fever, leucocytosis (12/nl) and a slight increase in C-reactive protein (1 mg/dl). Based on the clinical presentation, the patient was taken to the operating room to perform an appendicectomy. Surprisingly, we found an inflamed necrotic appendix epiploicum, located immediately on a non-inflamed appendix vermiformis, which was ligated and excised.</p> <p>Conclusion</p> <p>This case report demonstrates that epiploic appendagitis can mimic acute appendicitis on clinical exam and should be considered in the broad spectrum of abdominal disease presenting with right lower quadrant pain.</p>
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spelling doaj.art-fec7c680019c4526b9469469fccfdbb12022-12-21T23:18:12ZengBMCJournal of Medical Case Reports1752-19472009-02-01315710.1186/1752-1947-3-57An inflamed necrotic appendix epiploicum with immediate contact to a non-inflamed appendix vermiformis: a case reportSand MichaelBonhag GerdBechara Falk-GeorgesSand DanielMann Benno<p>Abstract</p> <p>Introduction</p> <p>Epiploic appendagitis is a rare cause of focal abdominal pain which, depending on its localisation, can mimic a variety of abdominal diseases. We describe a patient with an inflamed necrotic appendix epiploicum with immediate contact to a non-inflamed appendix vermiformis mimicking acute appendicitis. Considering the rare localization, this is the first report of this kind in the literature.</p> <p>Case presentation</p> <p>We present the case of a 50-year-old Caucasian man who presented with classic signs of acute appendicitis. On clinical exam, McBurney and Blumberg signs were positive. Additionally he had fever, leucocytosis (12/nl) and a slight increase in C-reactive protein (1 mg/dl). Based on the clinical presentation, the patient was taken to the operating room to perform an appendicectomy. Surprisingly, we found an inflamed necrotic appendix epiploicum, located immediately on a non-inflamed appendix vermiformis, which was ligated and excised.</p> <p>Conclusion</p> <p>This case report demonstrates that epiploic appendagitis can mimic acute appendicitis on clinical exam and should be considered in the broad spectrum of abdominal disease presenting with right lower quadrant pain.</p>http://www.jmedicalcasereports.com/content/3/1/57
spellingShingle Sand Michael
Bonhag Gerd
Bechara Falk-Georges
Sand Daniel
Mann Benno
An inflamed necrotic appendix epiploicum with immediate contact to a non-inflamed appendix vermiformis: a case report
Journal of Medical Case Reports
title An inflamed necrotic appendix epiploicum with immediate contact to a non-inflamed appendix vermiformis: a case report
title_full An inflamed necrotic appendix epiploicum with immediate contact to a non-inflamed appendix vermiformis: a case report
title_fullStr An inflamed necrotic appendix epiploicum with immediate contact to a non-inflamed appendix vermiformis: a case report
title_full_unstemmed An inflamed necrotic appendix epiploicum with immediate contact to a non-inflamed appendix vermiformis: a case report
title_short An inflamed necrotic appendix epiploicum with immediate contact to a non-inflamed appendix vermiformis: a case report
title_sort inflamed necrotic appendix epiploicum with immediate contact to a non inflamed appendix vermiformis a case report
url http://www.jmedicalcasereports.com/content/3/1/57
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