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Infarction of an epiploic appendix
Southern Medical Journal
|March 1, 1986
Abstract:
We have presented four cases of infarcted appendices epiploicae. Because the clinical picture can be confusing, the diagnosis is frequently delayed or missed. Removal of the infarcted appendix results in cure, with no reported cases of recurrence. The disease can be fatal, four deaths having been reported in the literature.
Insights
Inflicted appendices epiploicae present a diagnostic challenge due to confusing symptoms. Surgical removal offers a cure for this condition, which can otherwise be fatal.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Appendices epiploicae are small, fat-filled pouches attached to the colon.
- Their infarction, though rare, can mimic other abdominal pathologies.
Observation:
- Presents four clinical cases of infarcted appendices epiploicae.
- Highlights the diagnostic difficulties due to non-specific clinical presentations.
- Notes frequent delays or missed diagnoses in clinical practice.
Findings:
- Surgical excision of the infarcted appendix leads to complete resolution.
- No recurrence of the condition has been reported post-surgery.
- The condition carries a potential for mortality, with four deaths documented in existing literature.
Implications:
- Emphasizes the importance of considering infarcted appendices epiploicae in the differential diagnosis of acute abdominal pain.
- Surgical intervention is curative and prevents potentially fatal outcomes.
- Further research may elucidate optimal diagnostic strategies to reduce delays.