Epiploic Appendagitis Causing Small Bowel Obstruction: A Pleasant Surprise
Introduction. Epiploic appendagitis is a rare cause of acute abdominal pain, mimicking acute diverticulitis or appendicitis. Epiploic appendagitis causing small bowel obstruction is highly unusual, and only a handful of such cases have been reported so far. Case Report. A 69-year-old man presented w...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2020/3126495 |
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| author | Theodoros Hadjizacharias Dionysios Dellaportas Despoina Myoteri Constantinos Nastos Stavros Chaniotis George Polymeneas |
| author_facet | Theodoros Hadjizacharias Dionysios Dellaportas Despoina Myoteri Constantinos Nastos Stavros Chaniotis George Polymeneas |
| author_sort | Theodoros Hadjizacharias |
| collection | DOAJ |
| description | Introduction. Epiploic appendagitis is a rare cause of acute abdominal pain, mimicking acute diverticulitis or appendicitis. Epiploic appendagitis causing small bowel obstruction is highly unusual, and only a handful of such cases have been reported so far. Case Report. A 69-year-old man presented with diffuse abdominal pain and vomiting over the last 12 hours. Clinical examination, laboratory, and imaging investigations showed small bowel obstruction, and after 12 hours of conservative management, surgical exploration was decided. During surgery, a dilated terminal ileum bowel loop was found densely adhered to the sigmoid colon, attached to an inflamed epiploic appendix. The small bowel was mobilized and freed, and the inflamed epiploic appendix was resected. The postoperative course was uneventful, and the patient was discharged on the 5th postoperative day. Conclusion. Epiploic appendagitis, although a rare clinical entity, may explain small bowel obstruction symptoms. |
| format | Article |
| id | doaj-art-badbdebdfca541f2ba083c0c1051b1a0 |
| institution | OA Journals |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-badbdebdfca541f2ba083c0c1051b1a02025-08-20T02:19:21ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/31264953126495Epiploic Appendagitis Causing Small Bowel Obstruction: A Pleasant SurpriseTheodoros Hadjizacharias0Dionysios Dellaportas1Despoina Myoteri2Constantinos Nastos3Stavros Chaniotis4George Polymeneas52nd Department of Surgery, Aretaieion University Hospital, Medical School, National and Kapodistrian University of Athens, Greece2nd Department of Surgery, Aretaieion University Hospital, Medical School, National and Kapodistrian University of Athens, GreecePathology Department, Aretaieion Hospital, Medical School, National and Kapodistrian University of Athens, Greece3rd Department of Surgery, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, GreecePediatric Department, General Hospital of Nikaia “Agios Panteleimon”, Greece2nd Department of Surgery, Aretaieion University Hospital, Medical School, National and Kapodistrian University of Athens, GreeceIntroduction. Epiploic appendagitis is a rare cause of acute abdominal pain, mimicking acute diverticulitis or appendicitis. Epiploic appendagitis causing small bowel obstruction is highly unusual, and only a handful of such cases have been reported so far. Case Report. A 69-year-old man presented with diffuse abdominal pain and vomiting over the last 12 hours. Clinical examination, laboratory, and imaging investigations showed small bowel obstruction, and after 12 hours of conservative management, surgical exploration was decided. During surgery, a dilated terminal ileum bowel loop was found densely adhered to the sigmoid colon, attached to an inflamed epiploic appendix. The small bowel was mobilized and freed, and the inflamed epiploic appendix was resected. The postoperative course was uneventful, and the patient was discharged on the 5th postoperative day. Conclusion. Epiploic appendagitis, although a rare clinical entity, may explain small bowel obstruction symptoms.http://dx.doi.org/10.1155/2020/3126495 |
| spellingShingle | Theodoros Hadjizacharias Dionysios Dellaportas Despoina Myoteri Constantinos Nastos Stavros Chaniotis George Polymeneas Epiploic Appendagitis Causing Small Bowel Obstruction: A Pleasant Surprise Case Reports in Surgery |
| title | Epiploic Appendagitis Causing Small Bowel Obstruction: A Pleasant Surprise |
| title_full | Epiploic Appendagitis Causing Small Bowel Obstruction: A Pleasant Surprise |
| title_fullStr | Epiploic Appendagitis Causing Small Bowel Obstruction: A Pleasant Surprise |
| title_full_unstemmed | Epiploic Appendagitis Causing Small Bowel Obstruction: A Pleasant Surprise |
| title_short | Epiploic Appendagitis Causing Small Bowel Obstruction: A Pleasant Surprise |
| title_sort | epiploic appendagitis causing small bowel obstruction a pleasant surprise |
| url | http://dx.doi.org/10.1155/2020/3126495 |
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