Related Experiment Videos

Torsion of parietal-peritoneal fat mimicking acute appendicitis: a case report

Kamal Sanjiva Hapuarachchi, Edward Douglas Courtney, Szabolcs Gergely

    Journal of Medical Case Reports
    |October 16, 2009
    PubMed
    Abstract

    Insights

    A rare case of a torted fatty appendage on the abdominal wall mimicked appendicitis. Laparoscopy successfully diagnosed this uncommon cause of acute abdominal pain, highlighting its diagnostic utility.

    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Infarctions of the greater omentum and appendices epiploicae are recognized causes of acute abdominal pain.
    • Torted fatty appendages on the parietal peritoneum are rare, presenting diagnostic challenges.

    Purpose of the Study:

    • To report a rare case of a torted fatty appendage mimicking acute appendicitis.
    • To emphasize the diagnostic value of laparoscopy in such cases.

    Main Methods:

    • A 41-year-old woman presented with symptoms suggestive of acute appendicitis.
    • Diagnostic laparoscopy was performed, revealing a necrotic torted fatty appendage.

    Main Results:

    • The appendix was found to be non-inflamed.
    • A torted fatty appendage on the anterior abdominal wall was identified as the cause of pain.

    Conclusions:

    • Torted fatty appendages can mimic common acute abdominal conditions.
    • Laparoscopy is an effective diagnostic tool for identifying these rare entities.

    Related Concept Videos

    Appendicitis-I: Introduction01:22

    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...
    Appendicitis01:19

    Appendicitis

    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...
    Appendicitis-II: Diagnostic Studies and Management01:29

    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...
    Cholecystitis01:20

    Cholecystitis

    Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
    Intestinal Obstruction II: Pathophysiology01:07

    Intestinal Obstruction II: Pathophysiology

    Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
    Abdominal Regions and Quadrants01:19

    Abdominal Regions and Quadrants

    To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
    The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...