title: An unusual cause of hematuria; primary epiploic appendagitis.
abstract: BACKGROUND
  Primary epiploic appendagitis (PEA) is self limiting inflammatory disease of colonic epiploic appendices.
  
  
  METHODS
  Herein, a 40 years old patient describing abdomino-inguinal pain with clotty hematuria having PEA was presented. At first, the patient was thought to have a primary bladder pathology, but after a meticioulus examination, he found to have PEA and managed by conservative measures.
  
  
  CONCLUSIONS
  Although PEA does not require surgical intervention, it may mimic other acute abdominal disorders which can be difficult to differentiate. Appendices overlying the sigmoid colon and cecum are more prone to be affected as they are more elongated and wider in size. The patient is usually admitted due to sudden onset of abdominal pain accompanied with fever, abdominal tenderness and leucocytosis.
  
  
  CONCLUSIONS
  The present case demonstrated that PEA located close to the lower urinary tract especially urinary bladder might present with urinary symptoms such as hematuria. dysuria, pollakuria and inguinal pain.
authors.affiliation: Department of Urology, Hisar Intercontinental Hospital, Saray Mahallesi Site Yolu Caddesi No. 7, Umraniye, 34768 Umraniye, Istanbul, Turkey. Electronic address: drbasri@gmail.com.
authors.forename: Basri
authors.initials: B
authors.lastname: Cakiroglu
authors.affiliation: Department of Urology, Maltepe University Medical School, 34600 Maltepe, Istanbul, Turkey.
authors.forename: Orhun
authors.initials: O
authors.lastname: Sinanoglu
authors.affiliation: Department of General Surgery, Hisar Intercontinental Hospital, Saray Mahallesi Site Yolu Caddesi No. 7, Umraniye, 34768 Umraniye, Istanbul, Turkey.
authors.forename: İlker
authors.initials: İ
authors.lastname: Abci
authors.affiliation: Department of Urology, Taksim Training and Research Hospital, Sıraselviler Cad., 34200 Istanbul, Turkey.
authors.forename: Tuncay
authors.initials: T
authors.lastname: Tas
authors.affiliation: Department of Internal Medicine, Hisar Intercontinental Hospital, Saray Mahallesi Site Yolu Caddesi No. 7, Umraniye, 34768 Umraniye, Istanbul, Turkey.
authors.forename: Akif Nuri
authors.initials: AN
authors.lastname: Dogan
authors.affiliation: Department of Radiology, Hisar Intercontinental Hospital, Saray Mahallesi Site Yolu Caddesi No. 7, Umraniye, 34768 Umraniye, Istanbul, Turkey.
authors.forename: Suleyman Hilmi
authors.initials: SH
authors.lastname: Aksoy
authors.affiliation: Department of General Surgery, Hisar Intercontinental Hospital, Saray Mahallesi Site Yolu Caddesi No. 7, Umraniye, 34768 Umraniye, Istanbul, Turkey.
authors.forename: Yilmaz
authors.initials: Y
authors.lastname: Bilsel
keywords: Appendagitis; Diverticulitis; Dysuria; Epiploic appendice; Hematuria