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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

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Published on: February 26, 2013

Epiploic Appendagitis Mimicking Recurrent Diverticulitis.

R Plummer¹, Y Sekigami¹, Lilian Chen¹

¹Department of Surgery, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA.

Case Reports in Surgery

|June 1, 2018

Summary

This summary is machine-generated.

Epiploic appendagitis, an uncommon cause of abdominal pain, can mimic diverticulitis. Considering this condition in patients with a history of recurrent diverticulitis is crucial for accurate diagnosis and treatment.

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Area of Science:

Gastroenterology
Abdominal Imaging

Background:

Diverticulitis of the sigmoid colon is a common cause of left lower quadrant (LLQ) abdominal pain.
Recurrent episodes necessitate careful differential diagnosis to guide appropriate management.

Observation:

A patient with a history of sigmoid diverticulitis presented with LLQ pain characteristic of previous episodes.
Initial clinical assessment suggested a diverticulitis flare, leading to antibiotic treatment and consideration for surgery.

Findings:

A computed tomography (CT) scan revealed epiploic appendagitis as the cause of pain.
Crucially, the CT scan showed no evidence of active diverticulitis.

Implications:

Epiploic appendagitis, though uncommon, should be considered in the differential diagnosis of LLQ pain, especially in patients with a history of diverticulitis.
Accurate differentiation between diverticulitis and epiploic appendagitis can significantly alter patient management and prevent unnecessary interventions.