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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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

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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...
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Inflammatory Bowel Disease II: Crohn's Disease01:30

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
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Acute Pancreatitis II: Clinical Manifestations and Management01:30

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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Case report: Caecal epiploic appendagitis mimicking acute appendicitis.

Carlin Ngai1, Seethalakshmi Viswanathan2, Joshua Lansom1

  • 1University of New South Wales, Australia.

International Journal of Surgery Case Reports
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PubMed
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Epiploic appendagitis can mimic acute appendicitis, presenting with similar right iliac fossa pain. Careful observation may prevent unnecessary appendectomies in select cases.

Keywords:
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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Acute appendicitis and epiploic appendagitis are common causes of abdominal pain.
  • Both conditions can present with similar symptoms, making differentiation challenging.
  • Appendicitis requires surgery, while epiploic appendagitis is typically self-limiting.

Observation:

  • A 38-year-old male presented with right iliac fossa pain and localized peritonism.
  • Initial inflammatory markers were minimally elevated.
  • Computed tomography (CT) scan suggested mild acute appendicitis.

Findings:

  • Laparoscopic surgery revealed a torsed epiploic appendage adjacent to a minimally inflamed appendix.
  • Histopathology confirmed periappendicitis but no acute appendicitis.
  • The appendix itself showed only mild inflammatory changes at its base.

Implications:

  • Right-sided epiploic appendagitis can be mistaken for acute appendicitis.
  • Selective observation may be beneficial for patients with right iliac fossa pain to avoid unnecessary surgery.
  • This case highlights the importance of considering differential diagnoses in abdominal pain evaluation.