scholarly journals Epiploic Appendagitis Mimicking Recurrent Diverticulitis

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
R. Plummer ◽  
Y. Sekigami ◽  
Lilian Chen ◽  
James Yoo
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Sigmoid Colon ◽  
Lower Quadrant ◽  
Epiploic Appendagitis ◽  
Left Lower Quadrant ◽  
Quadrant Abdominal Pain ◽  
Recurrent Diverticulitis ◽  
Intravenous Antibiotics ◽  
History Of

Here, we report a case in which a patient with an extensive history of diverticulitis of the sigmoid colon presented with left lower quadrant abdominal pain similar to her previous episodes of diverticulitis. An initial diagnosis of diverticulitis was made based on her history and exam, intravenous antibiotics were given, and an elective surgical resection was considered. However, a subsequent CT scan revealed epiploic appendagitis with no evidence of diverticulitis. Though uncommon, in patients with a history of recurrent diverticulitis, alternative causes of left lower quadrant abdominal pain such as epiploic appendagitis should be considered as this may alter future treatment decisions.

Cecal Epiploic Appendagitis: A Diagnostic and Therapeutic Dilemma

2007 ◽  
Vol 73 (8) ◽  
pp. 828-830 ◽  
Author(s):  
Vijaykumar G. Patel ◽  
Arundathi Rao ◽  
Reginald Williams ◽  
Radha Srinivasan ◽  
James K. Fortson ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Ct Scan ◽  
Abdominal Ct ◽  
Lower Quadrant ◽  
Radiographic Findings ◽  
Epiploic Appendagitis ◽  
Abdominal Symptoms ◽  
Abdominal Ct Scan ◽  
Limiting Condition

Acute epiploic appendagitis (EA) is a rare and often misdiagnosed cause of acute abdominal pain. Though a benign and often self-limiting condition, EA's ability to mimic other disease processes makes it an important consideration in patients presenting with acute abdominal symptoms. Careful evaluation of abdominal CT scan findings is crucial in the accurate diagnosis of epiploic appendagitis, thus avoiding unnecessary surgical intervention. We report a case of a 29-year-old male presenting with a two day history of generalized abdominal pain. Physical exam revealed a diffusely tender abdomen with hypoactive bowel sounds. The patient had a leukocytosis of 18,000 and abdominal CT scan revealed right lower quadrant inflammatory changes suggestive of acute appendicitis. Laparoscopic exploration revealed an inflamed gangrenous structure adjacent to the ileocecal junction. Pathologic evaluation revealed tissue consistent with epiploic appendagitis. Retrospective review of the CT scan revealed a normal appearing appendiceal structure superolateral to the area of inflammation. The patient recovered uneventfully with resolving leukocytosis. We present a case of cecal epiploic appendagitis mimicking acute appendicitis and review the current literature on radiographic findings, diagnosis, and treatment of this often misdiagnosed condition. General surgeons should be aware of this self-limiting condition and consider this in the differential diagnosis.

scholarly journals Calcifying Bowel Inflammation: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-2
Author(s):  
Jacques Klein ◽  
Philippe Morel ◽  
Christian Toso
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Foreign Body ◽  
Sigmoid Colon ◽  
Sigmoid Diverticulitis ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Left Lower Quadrant ◽  
Distended Abdomen

We report about a previously healthy 72 year-old woman, presented with 6 days of left lower quadrant abdominal pain and constipation. There was no report of fever, melena, hematochezia or change in appetite. The physical exam demonstrated a distended abdomen with palpable left lower quadrant pain, without guarding. CT showed images compatible with a sigmoid diverticulitis and a calcification of the sigmoid colon. After antibiotic threatment, a colonoscopy was performed which revealed the presence of a shell in the sigmoid colon. Our case illustrates the need for a colonoscopy following an attack of diverticulitis to look for a cancer or rarely a foreign body.

Left lower quadrant abdominal pain caused by an IUCD

Gut ◽  
2011 ◽  
Vol 60 (11) ◽  
pp. 1505-1505
Author(s):  
H.-L. Hsu ◽  
C.-C. Chang ◽  
J.-T. Liang ◽  
K.-L. Liu
Keyword(s):  
Abdominal Pain ◽  
Lower Quadrant ◽  
Left Lower Quadrant ◽  
Quadrant Abdominal Pain

scholarly journals Revisiting the Differential for Left Lower Quadrant Pain: A Case of Epiploic Appendagitis

2021 ◽  
Vol 8 (6) ◽  
Author(s):  
Smith JL ◽  
◽  
Potts SE ◽  
Keyword(s):  
Abdominal Pain ◽  
Outpatient Setting ◽  
Effective Management ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Epiploic Appendagitis ◽  
Left Lower Quadrant ◽  
Inpatient Management ◽  
Systemic Antibiotics

Appropriate triage of abdominal pain in the outpatient setting is critical for safe and effective management of patients. Abdominal pain has a broad differential, heavily dependent on elicitation of a clear history, and pertinent physical exam findings. In adults >50 with left lower quadrant pain, diverticulitis is the most common cause. Diverticulitis can cause significant morbidity in this population, frequently requiring inpatient management, systemic antibiotics, and occasionally surgical intervention. A frequently overlooked cause of left lower quadrant pain in adults is Epiploic Appendagitis (EA). While similar in presentation, unlike diverticulitis, EA rarely requires more than outpatient treatment with non-steroidal anti-inflammatories for pain management. Here we present a report of left lower quadrant pain consistent with diverticulitis in a 55 yo female in the outpatient setting, found to have EA by imaging. This case demonstrates that the differential for LLQ pain without signs of an acute abdomen in an adult, should include EA.

scholarly journals Mucinous Colorectal Carcinoma in a 17-Year-Old Male: A Diagnosis with Low Clinical Index of Suspicion

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
James Joseph Yahaya ◽  
Edward Ketson Msokwa ◽  
Alex Mremi
Keyword(s):  
Abdominal Pain ◽  
Colorectal Carcinoma ◽  
Clinical Outcomes ◽  
Pediatric Population ◽  
Advanced Stage ◽  
Lower Quadrant ◽  
Left Lower Quadrant ◽  
Clinical Index ◽  
Signet Ring ◽  
History Of

Colorectal carcinoma (CRC) is commonly found in adults. CRC in the pediatric population is extremely rare. Usually, CRC is diagnosed in children at advanced stage due to a low clinical index of suspicion. Mucinous type of CRC and its signet ring variant are the most common histological types which carry very poor clinical outcomes. This paper reports a 17-year-old male who presented with mild pallor and a 3-month history of abdominal pain accompanied with a mass on the left lower quadrant, and it was then confirmed histologically to be mucinous CRC of signet ring variant. This paper will help to raise awareness among the physicians and pediatricians in including CRC in the preliminary workouts for the purpose of shortening the delay for diagnosis which in turn would compromise the prognosis of the patients.

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