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Am J Case Rep
December 2024
Department of Obstetrics and Gynaecology, Raigmore Hospital, NHS Highland, Inverness, United Kingdom.
BACKGROUND Acute epiploic appendagitis is an uncommon cause of acute abdominal pain characterized by pain in the left or right lower quadrants of the abdomen. It is caused by torsion or spontaneous venous thrombosis of one of the epiploic appendages, which are found along the colon, most commonly in the sigmoid colon. The literature consistently compares the presenting symptoms and clinical picture of acute epiploic appendagitis to acute diverticulitis and acute appendicitis.
View Article and Find Full Text PDFEmerg Radiol
December 2024
Department of Surgery, Kiriyama Clinic, Nagoya, Aichi, Japan.
Epiploic appendagitis of the vermiform appendix is a rare cause of right lower abdominal pain that can mimic acute appendicitis and result in unnecessary surgery. Despite this, the condition can be managed with non-steroidal anti-inflammatory drugs alone. Due to the lack of characteristic physical or laboratory findings, accurate diagnosis by imaging is crucial.
View Article and Find Full Text PDFRadiol Case Rep
November 2024
Department of Radiology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Peritoneal loose bodies, also referred to as peritoneal mice, are formed by torsion of epiploic appendages detaching from the large bowel, subsequently becoming loose within the peritoneal cavity. While often discovered incidentally during laparotomy or autopsy, emerging reports suggest they can manifest with diverse symptoms. Here, we present a 61-year-old patient experiencing lower abdominal pain and irritative voiding symptoms, ultimately diagnosed with a giant peritoneal loose body measuring 6.
View Article and Find Full Text PDFCureus
July 2024
Internal Medicine, Allied Hospital, Faisalabad, PAK.
An acute abdomen that is tender to palpation often represents a life-threatening emergency requiring immediate surgical or medical management. We present a case of acute abdomen with peritoneal signs and symptoms due to epiploic appendagitis (EA) that resolved with a single dose of ibuprofen. EA often mimics appendicitis, diverticulitis, and rarely cholecystitis based on its location.
View Article and Find Full Text PDFCureus
June 2024
General and Bariatric Surgery, Tiesenga Surgical Associates, Elmwood Park, USA.
Omental infarction is an uncommon cause of abdominal pain. The condition is often misdiagnosed due to its clinical similarity to more common abdominal pathologies like appendicitis and cholecystitis. This report presents the case of a 57-year-old female with a one-week history of left-sided abdominal pain, initially aggravated by eating and defecation.
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