Περίληψη:
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 5(th)postoperative day.Conclusion. Epiploic
appendagitis, although a rare clinical entity, may explain small bowel
obstruction symptoms.
Συγγραφείς:
Hadjizacharias, Theodoros
Dellaportas, Dionysios
Myoteri,
Despoina
Nastos, Constantinos
Chaniotis, Stavros
Polymeneas,
George
