Torsion, necrosis, and inflammation of an epiploic appendix of the large bowel: a diagnostic and therapeutic dilemma.
We present the case of a young patient with abdominal pain of 3 weeks' duration and a preoperative presumptive diagnosis of acute appendicitis, diverticulitis, colon perforation, or possibly neoplasm. Even after resection of a large mass involving the right colon, the diagnosis was not confirmed until surgical pathology identified torsion, partial necrosis, and inflammation of an epiploic appendix of the right colon.
Chatziioannou
A N
AN
Department of Surgery, Baylor College of Medicine, Houston, Tex., USA.
Asimacopoulos
P J
PJ
Malone
R S
RS
Pneumaticos
S G
SG
Safi
H J
HJ
D000328:Adult; D003092:Colitis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003106:Colon / Q000098:blood supply / Q000473:pathology; D003937:Diagnosis, Differential; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000601:surgery; D008297:Male; D009336:Necrosis; D013927:Thrombosis / Q000175:diagnosis / Q000601:surgery; D014102:Torsion Abnormality