It is not Appendicitis! It is Appendicitis Epiploica, the Great Pretender

  • Farah Nobi Assistant Professor, Department of Surgery, Delta Medical College and Hospital, Mirpur-1, Dhaka
  • Shayda Ali Assistant Professor (cc), Department of Surgery, Delta Medical College and Hospital, Mirpur-1, Dhaka
  • Md Mostafizur Rahman Associate Professor, Department of Surgery, Delta Medical College and Hospital, Mirpur-1, Dhaka
  • Russel Ahmed Khan Lodi Resident Surgeon, Department of Surgery, Delta Medical College and Hospital, Mirpur-1, Dhaka
  • Mohammad Arman Zahed Basunia Registrar, Department of Surgery, Delta Medical College and Hospital, Mirpur-1, Dhaka
  • Sazzad Shahriar Assistant Registrar, Department of Surgery, Delta Medical College and Hospital, Mirpur-1, Dhaka
  • Shamsur Rahman Assistant Registrar, Department of Surgery, Delta Medical College and Hospital, Mirpur-1, Dhaka
  • Hasan Mohammad Abdur Rouf Professor, Department of Surgery, Delta Medical College and Hospital, Mirpur-1, Dhaka
  • Tapesh Kumar Paul Professor, Department of Surgery, Delta Medical College and Hospital, Mirpur-1, Dhaka
Keywords: Appendicitis Epiploica, Pretender

Abstract

Appendicitis epiploica or epiploicae appendagitis, an uncommon cause of abdominal pain, is usually per-operatively diagnosed. The pedunculated fat-filled small pouches or appendices epiploicae on the serosal surface of the colon often become twisted and sometimes spontaneous thrombosis occurs. Such events lead to ischemia and inflammation at the base of the fatty lobes i.e., Appendicitis epiploicae. Symptoms include sharp localized pain in either iliac fossae and in some cases there is elevated temperature and white blood cell count. In a quarter of the patients there is rebound tenderness and very rarely nausea and vomiting, diarrhoea or constipation. This condition is more common among middle aged males and given its non-specific symptoms. It is usually confused with other more common conditions such as Meckel’s diverticulitis and appendicitis. Less than 8% of patients suspected of having appendicitis or diverticulitis are found to actually have appendicitis epiploicae. Here we report two extremely rare cases of appendicitis epiploica in Bangladesh.

Journal of Surgical Sciences (2019) Vol. 23(2): 95-97

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Abstract
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PDF
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Published
2020-03-24
How to Cite
Nobi, F., Ali, S., Rahman, M. M., Lodi, R. A., Basunia, M. A., Shahriar, S., Rahman, S., Rouf, H., & Paul, T. (2020). It is not Appendicitis! It is Appendicitis Epiploica, the Great Pretender. Journal of Surgical Sciences, 23(2), 95-97. https://doi.org/10.3329/jss.v23i2.46119
Section
Case Reports