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.

References

Accetta, I., Accetta, P., Figueiredo Acceta, A., Jorge Vasconcellos Duarte, A., & Torres, W. (2008). Apendicite epiploica com comprometimento da serosa e estreitamento da luz do sigmoide. Relato de caso. In Revista Brasileira de Coloproctologia (28th ed.). 474 a 476.

Germán Prieto, R., David Carvajal, G., Hernán Santos, J., Upegui, D., & Rendón, J. (2016). Causas inesperadas de abdomen agudo. In Revista Colombiana de Cirugía (31st ed., pp. 269 a 275).

Iriarte-Rodríguez, A., Gõni-Esarte, S., Manuel Zozaya-Urmeneta, J., Bolado-Concejo, F., & Laura Álvarez-Gigli, M. (2015). Descripción de un caso de evolución inusual de apendicitis epiploica. In Revista Española de Enfermedades Digestivas (100th ed., pp. 707 a 708).

M. Vázquez, G., E. Manzotti, M., Alessandrini, G., Lemos, S., Clara Perret, M., & N. Catalano, H. (2014). Apendangitis epiploica primaria. Clínica y evolución de 73 casos. In Medicina (Buenos Aires) (74th ed., pp. 448 a 450).

Monzón Rodríguez, M., Hernández Cabrera, Y., & Sed Pérez, A. (2017). Apendicitis epiploica en una embarazada. Presentación de un caso. In MediSur (15th ed., pp. 409 a 413).

Noel Mederos Curbelo, O., Manuel Da Costa Fernández, J., Jeuín Savariego, E., & Ulises Ramos Hernández, R. (2010). Apendicitis epiploica primaria y hallazgos de la ecografia. In Revista Cubana de Cirurgía (49th ed., pp. 10 a 17).

Oliveira Freire Filho, E., Eduardo Marinho de Jesus, P., D'Ippolito, G., & Szejnfeld, J. (2006). Tomografia computadorizada sem contraste intravenoso no abdome agudo: quando e por que usar. In Radiologia Brasileira (39th ed., pp. 51 a 62).

Oliveira Pinto, I., Marcenes Gonçalves de Souza, L., Santos Pessoa, L., Andrade do Amaral, L., Alberoni Neves de Assis, L., & Guimarães Ribeiro, N. et al. (2011). Apendicite epiploica, uma breve revisão de literatura. In Revista Médica Mineira (21st ed., pp. 15 a 17).

Pignaton de Freitas, G., de Almeida Borges, A., Mendonça, R., Ribeiro, C. & Chiara Chindamo, M., (2008). Apendagite epiplóica: tratamento conservador. In: Revista Brasileira de Coloproctologia (28th ed., pp.350 a 352).

Pignaton de Freitas, G., de Almeida Borges, A., Mendonça, R., Ribeiro, C. and Chiara Chindamo, M., (2008). Apendagite epiplóica: aspectos clínicos e radiológicos. In: Arquivos de Gastroenterologia (45th ed., pp.163 a 165).

Real Martinez, C., Tadeu Palma, R., Pedroso Silveira Júnior, P., Tiemi Sato, Daniela., Rocha Rodrigues, M., Cabral de Resende Júnior, H. And Crepaldi Filho, H., (2013). Apendagite epiplóica primária. In: Jornal de Coloproctologia (33 th ed., pp.161 a 166).

Severo Alves de Melo, A., Melo Moreira, L., Andrade Pinheiro, R., Noro, F., Duarte Alves, J., & Beber Machado, B. (2002). Apendicite epiploica - Aspectos na ultrassonografia e na tomografia computadorizada. In Radiologia Brasileira (35th ed., pp. 171 a 174).

Solórzano-Morales, S., Castillo-Rodríguez, S., Laurindo-Mariano de Oliveira, G., Arrendondo-Villanueva, J., & Riadura-Sanz, C. (2016). Apendicitis epiploica.Causa poco común de abdomen agudo em niños. Presentación de un caso y revisión de la literatura. In Acta pediátrica de México (37th ed., pp. 88 a 93).

Sousa, D., Ferreira, A., Cruz, A., Marinho, D., Mateus, A., Allen, M., & Martins, J. (2016). Apendangite epiploica - diagnóstico diferencial da apendicite aguda. In Revista Portuguesa de Cirurgia (36th ed., pp. 29 a 32).

Tramujas da Costa e Silva, I., Rodrigues da Costa Neto, R., & Liberato Guimarães, É. (2005). Apendicite epiploica - resolução videolaparoscópica. In Revista do Colégio Brasileiro de Cirurgiões (32nd ed., pp. 108 e 109).

Vázquez-Estudillo, G., Símon-Mendoza, A., Larracilla-Salazar, I., & Josefina Rosas-Nicolás, B. (2019). Apendagitis: causa de dolor abdominal agudo no quirúrgico. Reporte de caso. In Revista de sanidad militar (72nd ed., pp. 58 a 61).

Vicente Aguila Gómez, M., Higorre Escalante, M., & Blanco Autilio, L. (2018). Apendagitis Aguda Epiploica: un nuevo reto diagnóstico para el cirujano de emergencias - presentación de un caso y revisón de la literatura. In Revista Médica de La Paz (24th ed., pp. 39 a 45).

Downloads

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: 22 nov. 2024.

Issue

Vol. 9 No. 10

Section

Health Sciences

License

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

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.