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Appendicitis-I: Introduction

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...

Appendicitis-II: Diagnostic Studies and Management

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...

Appendicitis

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Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...

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Epiploic appendagitis: Report of two cases.

Rupjyoti Talukdar¹, Nripen Saikia, Subhasish Mazumder

¹Department of Gastroenterology, Pushpawati Singhania Research Institute, Sheikh Sarai Phase II, Press Enclave Marg, New Delhi, 110017, India.

|January 24, 2007

Summary

Epiploic appendagitis (EA) is a self-limiting colon inflammation. Accurate diagnosis via CT scan avoids unnecessary surgery for this uncommon condition.

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Area of Science:

Gastroenterology
Abdominal Imaging

Background:

Epiploic appendagitis (EA) is an uncommon, self-limiting inflammation of the epiploic appendages.
These appendages are peritoneal pouches of subserosal fat located alongside the colon's taenia coli.

Observation:

EA often presents with symptoms mimicking acute appendicitis or diverticulitis.
Abdominal computed tomography (CT) is the gold standard for accurate EA diagnosis.

Findings:

This report details two cases of epiploic appendagitis diagnosed in India.
These represent the first documented cases of EA from this region.

Implications:

Accurate preoperative diagnosis of EA is crucial.
It helps prevent unnecessary exploratory laparotomies or laparoscopies.
Highlights the utility of CT imaging in diagnosing rare abdominal conditions.