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Related Experiment Videos

Primary appendicitis epiploicae mimicking acute appendicitis.

A J McMahon1, D T Hansell

  • 1Department of Surgery, Victoria Infirmary, Glasgow, UK.

Postgraduate Medical Journal
|November 1, 1988
PubMed
Summary

Primary appendicitis epiploicae, a rare condition caused by torsion, can mimic acute appendicitis. This summary covers two such cases, highlighting diagnostic challenges.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Appendicitis epiploicae (AE) are rare, benign conditions involving inflammation of the epiploic appendages.
  • Torsion is a less common cause of AE, often presenting with acute abdominal pain.

Observation:

  • Two cases of primary appendicitis epiploicae due to torsion are presented.
  • Both cases mimicked the clinical presentation of acute appendicitis.

Findings:

  • Histopathological examination confirmed primary appendicitis epiploicae caused by torsion.
  • Diagnostic imaging and clinical symptoms were highly suggestive of acute appendicitis in both instances.

Implications:

  • This highlights the importance of considering AE, particularly when caused by torsion, in the differential diagnosis of acute appendicitis.
  • Accurate diagnosis can prevent unnecessary appendectomies and guide appropriate management.

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