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      Appendicitis epiploicae: An unusual cause of acute abdomen in children

      case-report

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          Abstract

          Appendicitis epiploicae is described as a rare entity in an 8-year-old boy presented with the features of acute abdomen simulating acute appendicitis. Surgical exploration revealed a torsion of appendices epiploicae of the cecum. The excision of infarcted epiploicae with seromuscular inversion resulted in satisfactory recovery. Authors describe this uncommon cause of pediatric acute abdomen along with the review of pertinent literature.

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          Most cited references8

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          Epiploic disorders. Conditions of the epiploic appendages.

          Disorders of the epiploic appendages are rarely diagnosed preoperatively and usually result from torsion with subsequent infarction. No diagnostic test or clinical symptoms are pathognomonic of this process, which is a disease of middle age and rarely life-threatening, and the most common preoperative diagnosis is acute appendicitis. An analysis of case information reported in the surgical literature has been combined with our recent experience involving ten cases. Fifty-eight percent of the patients in this collected series were male, and the average age in both sexes was 42 years. The sigmoid colon was the most frequent site of these disorders (41.5%), and acute appendicitis was the most common preoperative diagnosis (37.7%). The treatment is ligation, excision, and occasionally seromuscular inversion. When encountered at exploration, this entity may represent the sole etiology of the abdominal pain if exploration is otherwise negative.
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            Laparoscopic Diagnosis and Treatment of an Acute Epiploic Appendagitis with Torsion and Necrosis Causing an Acute Abdomen

            Acute epiploic appendagitis is not as rare as previously thought; but, since the presenting signs and symptoms are not specific, preoperative diagnosis has been rarely made. At the present time, a laparoscopic exploration of the peritoneal cavity will establish the correct diagnosis, and the treatment can be provided during the same procedure. Herein, a case of a 63-year-old female patient with acute abdominal syndrome caused by a necrotic epiploic appendix that was successfully diagnosed and treated laparoscopically is described. A review of the literature is made, as well.
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              Torsion of an epiploic appendix mimicking acute appendicitis.

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                Author and article information

                Journal
                J Indian Assoc Pediatr Surg
                JIAPS
                Journal of Indian Association of Pediatric Surgeons
                Medknow Publications (India )
                0971-9261
                1998-3891
                Apr-Jun 2008
                : 13
                : 2
                : 83-84
                Affiliations
                Departments of Pediatric and Neonatal Surgery, Ibn Sina Hospital, Kuwait
                Author notes
                Correspondence: Dr. Vipul Gupta, Department of Pediatric Surgery, State of Kuwait. E-mail: drvipul75@ 123456yahoo.co.in
                Article
                JIAPS-13-81
                10.4103/0971-9261.43035
                2788444
                20011477
                2f7ade58-6d28-4b94-89d2-47d777757ed5
                © Journal of Indian Association of Pediatric Surgeons

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Case Report

                Surgery
                children,appendicitis epiploicae,acute abdomen
                Surgery
                children, appendicitis epiploicae, acute abdomen

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