Retrospective Study
Volume 8 Issue 10 - 2021
Epiploic Appendagitis, a Rare Cause of Acute Abdomen in Adult: A Case Series
Y Charifi1*, S Kolani1, A Hamdane2, N El Bouardi1, M Haloua1, B Alami1, L Chbani3, M Boubbou1, A Ousadden2, M Maaroufi1 and Y Alaoui Lamrani1
1Service de Radiologie, CHU HASSAN II, Fès, Morocco
2Service de Chirurgie Générale, CHU HASSAN II, Fès, Morocco
3Service d’anatomie et de Cytologie Pathologiques, CHU HASSAN II, Fès, Morocco
*Corresponding Author: Y Charifi, Service de Radiologie, CHU HASSAN II, Fès, Morocco.
Received: September 01, 2021; Published: September 09, 2021




Abstract

Background: Appendagitis is due to the inflammation of an epiploic appendage spontaneously or to torsion or ischemia. Clinically, the most common manifestation are located in the ileocaecal region. Our study highlight different clinical presentation of epiploic appendagitis that should help clinicians in the differential diagnosis of acute pseudo surgical abdomen.

Methods: This is a retrospective study, conducted in the adult emergency department of university hospital of Fez, which have approximately 15,000 consultations per year. All patients admitted in the surgical emergency unit.

Results: Diagnostic assumptions based on clinical presentation were diverticulitis (n=5), appendicitis (n = 2), gastric ulcer perforation (n = 1) and epiploic appendicitis (n = 2). CT scan was done in six of our patients who had a non specific aspects in ultrasonography. The treatment was surgical in half cases and conservative in the other half.

Conclusion: The treatment of the typical forms is generally conservative, while the complicated form requires surgery because of the potential pathology associated with surgical treatment is adopted in most cases (5 cases), some studies have shown that there is a tendency for recurrence in 40% of cases when the treatment is conservative.

Keywords: Epiploic Appendagitis; Abdomen; Adult

References

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Citation: Y Charifi., et al. “Epiploic Appendagitis, a Rare Cause of Acute Abdomen in Adult: A Case Series”. EC Gastroenterology and Digestive System 8.10 (2021): 03-10.

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