Abstract

FLORES SALAZAR, Luis Omar; GONZALEZ TOVAR, Jorge; REYNA SEPULVEDA, Francisco Javier  and  MUNOZ MALDONADO, Gerardo Enrique. Primary epiploic appendagitis. Rev Cubana Cir [online]. 2018, vol.57, n.4 ISSN 1561-2945.

Primary epiploic appendagitis is a rare cause of abdominal pain that may mimic any other acute abdomen condition. This makes its diagnosis a real challenge for physicians. Here is a 22 years-old male patient, with no significant history of diseases, who were admitted to the emergency room because he had suffered abdominal pain for 36 hours. The physical exam revealed pain on palpating the right flank. He underwent a contrasted computed tomography of abdomen which showed a rounded image with hyperdense halo, fat plane effacement and inflammatory changes around, which was unrelated to another abdominal organ. These findings allowed diagnosing primary epiploic appendagitis. The patient was hospitalized for pain management and was discharged 48 hours later with clinical improvement and no symptoms. Primary epiploic appendagitis is infrequent cause of abdominal pain, however, we consider that it is important to know it so as to avoid diagnostic and therapeutic mistakes that might unnecessarily increase morbidity and the inadequate use of antibiotics and of hospital resources.

Keywords : appendagitis; surgery; colorectal.

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