EPIPLOIC APPENDAGITIS AS AN UNUSUAL CAUSE OF URGENT ABDOMINAL PATHOLOGY
https://doi.org/10.38181/2223-2427-2021-4-39-43
Abstract
Aim of the study is to present a clinical case of epiploic appendagitis as a rare acute abdominal pathology.
Methods. This case demonstrates the prevalence of acute appendicitis symptoms in the clinical picture of the disease. During the operation was identified a necrotic changes in epiploic appendage of the ileocecal region with presence of secondary appendicitis.
Result. The histological examination of the removed epiploic appendagitis gives a picture of tissues infarct with adipose necrosis and the presence of simple catarrhal appendicitis. It was received a normal postoperative course and a patient was discharged from hospital on the 8th day.
Conclusion Epiploic appendagitis, due to the absence of pathognomonic symptoms, is an extremely difficult pathology for diagnosis. To establish the correct diagnosis, it is necessary to take into account a complex of data, including clinical and anamnestic, laboratory and instrumental diagnostic methods.
About the Authors
O. V. Galimov
Bashkir state medical university
Russian Federation
Russian Federation
Oleg V. Galimov – Dr. Sci., Professor
3 Lenina str., Ufa, Republic of Bashkortostan, 450008
V. O. Khanov
Bashkir state medical university
Russian Federation
Russian Federation
Vladislav O. Khanov – Dr. Sci., Professor
3 Lenina str., Ufa, Republic of Bashkortostan, 450008
R. O. Venediktov
Bashkir state medical university
Russian Federation
Russian Federation
Ruslan O. Venediktov
3 Lenina str., Ufa, Republic of Bashkortostan, 450008
D. M. Rudakov
Ufa City Clinical Hospital №13
Russian Federation
Russian Federation
Dmitriy M. Rudakov – State Budgetary Institution of Health Care of the Republic of Bashkortostan
28 Nezhinskaya str., Ufa, Republic of Bashkortostan, 450112
References
1. Efendiyev SH.M., Volkov O.V., Kurbanov M.A. Diseases of fatty suspensions of the colon. Khirurgiya 2003; 10: 64-66 (In Russ.)
2. Yang L, Jia M, Han P. Primary epiploic appendagitis as an unusual cause of acute abdominal pain in a middle-aged male. A case report. Medicine (Baltimore). 2019;98(33):e16846. https://doi.org/10.1097/MD.0000000000016846
3. Lobanov D.S., Darvin V.V., Ilkanich A.Y., Klimova N.V., Devyatkina T.V. Towards patients management with acute distress of colon epiploic appendage.Vestnik SurGU. Medicina. 2016; (2): 24-27. (In Russ.)
4. Khadzhibaev F.A., Gulomov F.K. Torsion and necrosis of the strand of the greater omentum and fatty suspensions of the large intestine. Vestnik Ekstrennoy Meditsiny 2017; XI(3); 30-34 (In Russ.)
5. Baulina E.A., Nikolashin V.A., Baulin A.A. Pathology of fatty suspensions. Al'manakh Instituta khirurgii im. A.V. Vishnevskogo. 2010; 5(1): 221. (In Russ.)
6. Nadida D, Amal A, Ines M, Makram M, Amira M, Leila BF, Lotfi H. Acute epiploic appendagitis: Radiologic and clinical features of 12 patients. Int J Surg Case Rep. 2016;28:219-222. https://doi.org/10.1016/j.ijscr.2016.09.015
7. Gougiotis S., Oikonomou C., Veloudis G., Lardou I., Pittaras G., Villias C. The Diagnostic Dilemma of Primary Epiploic Appendagitis and How to Establish a Diagnosis. Oman Med J. 2016 May; 31(3): 235–237. https://doi.org/10.5001/omj.2016.45
8. Menozzi G, Maccabruni V, Zanichelli M, Massari M. Contrast-enhanced ultrasound appearance of primary epiploic appendagitis. J Ultrasound. 2014 Feb 14;17(1):75-6. https://doi.org/10.1007/s40477-014-0073-x
9. Baimakov S.R., Ashirmetov A.Kh., Yunusov S.Sh. et al. Necrosis of the omental process of the descending colon, simulating an acute abdomen. Abstracts of The IX Annual International Scientific-Practical Conference “Medicine Pressing Questions” 2020; 4; 47-48. (In Russ.) https://doi.org/10.21467/abstracts.97
10. [Kurguzov O.P. Clinical masks of volvulus of the omental processes of the colon. Khirurgiya. Zhurnal im. N.I. Pirogova: 2006 ;8; 27-32. (In Russ.)
11. Samsonov V.T., Ermolov A.S., Gulyaev A.A., Yartsev P.A., Abdulamitov Kh.K., Sattarova Z.I., Possibilities of video laparoscopy in the diagnosis and treatment of diseases simulating acute appendicitis. Khirurgiya, Zhurnal im. N.I. Pirogova, 2017; 6:22-27. (In Russ.) https://doi.org/10.17116/hirurgia2017622-27
12. Timofeev M.E., Fedorov E.D., Krechetova A.P., Shapovalyants S.G. Features of diagnosis and treatment of abdominal fatty structures torsion by laparoscopic approach. Endoskopicheskaya khirurgiya. 2014; 20(5): 13-16. (In Russ.) https://www.mediasphera.ru/issues/endoskopicheskaya-khirurgiya/2014/5/091025-72092015053
13. Theodoros Hadjizacharias, Dionysios Dellaportas, Despoina Myoteri, Constantinos Nastos, Stavros Chaniotis, George Polymeneas, "Epiploic Appendagitis Causing Small Bowel Obstruction: A Pleasant Surprise". Case Reports in Surgery, vol. 2020, Article ID 3126495, https://doi.org/10.1155/2020/3126495
14. Almuhanna AF, Alghamdi ZM, Alshammari E. Acute epiploic appendagitis: A rare cause of acute abdomen and a diagnostic dilemma. J Fam Community Med 2016; 23: 48-50 https://doi.org/10.4103/2230-8229.172234
Review
For citations:
Galimov O.V., Khanov V.O., Venediktov R.O., Rudakov D.M. EPIPLOIC APPENDAGITIS AS AN UNUSUAL CAUSE OF URGENT ABDOMINAL PATHOLOGY. Surgical practice (Russia). 2021;(4):39-43. (In Russ.) https://doi.org/10.38181/2223-2427-2021-4-39-43
Views:
6879
Email this article 