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.
Vázquez-Frias
J A
JA
Department of Surgery of The American British Cowdray Hospital, Mexico City, Mexico. vafa@correoweb.com
Castañeda
P
P
Valencia
S
S
Cueto
J
J
D000006:Abdomen, Acute / Q000209:etiology; D000208:Acute Disease; D000273:Adipose Tissue; D001064:Appendicitis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009336:Necrosis; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome