title: Torsion of epiploic appendage mimic acute appendicitis.
abstract: Epiploic appendagitis is a rare cause of focal abdominal pain which, depending on its localisation, can mimic a variety of abdominal diseases. We report a case of 36-year-old woman who presented with a classic signs of acute appendicitis. On examination, the obese, afebrile, and had very strong right iliac fossa tenderness and guarding. The white cell count was 12.82 x 10(9)/L, and C reactive protein count was 15.13MG/DL. She underwent emergency laparoscopic procedure after the acute appendicitis diagnosis has been established. Laparoscopic exploration of the abdominal cavity showed vermiform, no inflamed, appendix and necrotic appendix epiploica of the caecum. The treatment consisted of typical laparoscopic appendectomy and laparoscopic resection of the necrotic appendix epiploica. The patient made rapid recovery and was discharged from the hospital on second day after the operation. Histological investigation of the appendix epiploica revealed gangrenous epiploic appendage.
authors.affiliation: University of Split, Split University Hospital Center, Department of Pediatric Surgery, Split, Croatia. zenon@vip.hr
authors.forename: Zenon
authors.initials: Z
authors.lastname: Pogorelić
authors.forename: Radoslav
authors.initials: R
authors.lastname: Stipić
authors.forename: Nikica
authors.initials: N
authors.lastname: Druzijanić
authors.forename: Zdravko
authors.initials: Z
authors.lastname: Perko
authors.forename: Leo
authors.initials: L
authors.lastname: Grandić
authors.forename: Katarina
authors.initials: K
authors.lastname: Vilović
authors.forename: Ivana
authors.initials: I
authors.lastname: Mrklić
authors.forename: Ivo
authors.initials: I
authors.lastname: Jurić
authors.forename: Vladimir
authors.initials: V
authors.lastname: Boschi
authors.forename: Josip
authors.initials: J
authors.lastname: Bekavac
mesh_terms: D000208:Acute Disease; D000328:Adult; D001064:Appendicitis / Q000175:diagnosis* / Q000601:surgery; D003106:Colon / Q000473:pathology*; D005260:Female; D006801:Humans; D014102:Torsion Abnormality / Q000175:diagnosis* / Q000601:surgery