Epiploic appendagitis: a differential diagnosis: case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.8827

Keywords:

Acute inflammatory abdomen; Epiploic appendangitis; Abdominal pain; Differential diagnosis.

Abstract

Objective: To report a case of epiploic appendangitis in a patient treated at Clínica Gastromed, emphasizing the clinical, propaedeutic aspects and the treatment adopted.  Methodology: This is a retrospective study that will address the case of a patient with epiploic appendangitis, using the patient's medical record for this purpose.  Consultations will be carried out throughout the study period on available and pertinent literature, such as: scientific articles, books, magazines, etc.  Results: Male patient, 38 years old, seeks care on May 20, 2019 with complaints of diarrhea, unverified fever and myalgia.  Upon examination of the abdomen, pain on superficial and deep palpation in the left iliac fossa, with no pain on sudden decompression, without other changes.  Computed tomography of the lower abdomen revealed an ovoid structure with fat density, measuring 1.5 x 0.8 cm, with a hyperdense central point, on the colon's antimesenteric border suggesting incipient epiploic appendangitis in the left colon.  He underwent home monitoring with non-steroidal anti-inflammatory and antispasmodic drugs, with a favorable evolution.  Conclusion: In the conditions that were carried out in the present study, we can conclude that epiplomatic appendagitis is an unusual clinical condition that includes in its differential diagnosis several pathologies whose treatment is surgical illustrating the importance of adequate clinical reasoning.

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Published

11/10/2020

How to Cite

ANDRADE, G. V. de A.; PEREIRA, M. A.; ABREU , R. A. A. de .; ABREU, R. F. M. .; QUINTA, . M. C. de B. .; GALLO, F. .; FILHO, J. D. A. . Epiploic appendagitis: a differential diagnosis: case report. Research, Society and Development, [S. l.], v. 9, n. 10, p. e6369108827, 2020. DOI: 10.33448/rsd-v9i10.8827. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/8827. Acesso em: 26 dec. 2024.

Issue

Vol. 9 No. 10

Section

Health Sciences

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Copyright (c) 2020 Gabriela Vellano de Andrade Andrade; Marcela Araújo Pereira; Rone Antônio Alves de Abreu ; Rebeca Fontoura Morais Abreu; Mayra Carneiro de Brito Quinta; Fabiana Gallo; Jandui Diniz Araújo Filho

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