PP 01. A Rare Cause Of Abdominal Pain:Two Cases Of Primary Appendicitis Epiploica

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U. Mehmet Meral, O. Hancerliogullari

18:10 - 18:16h at Margrit Room

Categories: Gastrointestinal Surgery, Poster Session

Session: Poster (P1) - Gastrointestinal Surgery

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Background
We shared two patients; diagnosed to appendicitis epiploica which is a rare condition.

Material and Methods
CASE 1. 20 year old male patient complaining of abdominal pain was admitted to the emergency department. He had leukocytosis about 11200/mm3 at CBC. Either other labarotory findings or abdominal ultrasonography(USG) was normal. IV/oral contrast abdominal CT was performed. Tomographic findings were typical for epiploic appendicitis. . CASE 2. 21 year old male patient complaining of abdominal pain of two days duration was admitted to the emergency department. WBC was 14300/mm3.There were inflammatory changes at left lower quadrant but diagnosis were not determined by USG.In abdominal CT there were inflammation in the fatty plans beside the sigmoid colon.

Result
We gave ciprofloxacin,metronidazole and dexketoprofen trometamol.Began to decline at the end of 24 hours, the patient's pain complaints completely disappeared at the end of 3 and 5 days.

Conclusion
Appendicitis epiploica is a rare cause of acute abdominal pain.Appendices apiploicas are located on the serosal surface of colon and because of its sliding structure, torsion and necrosis may also often seen.This table is characterized by focal inflammation and antibiotics and anti-inflammatory drugs are very effective for treatment without surgery. Especially in patients admitted with left side abdominal pain, appendicitis epiploica must come to mind, because it shows similar symptoms with diseases such as acute appendicitis and diverticulitis,which may need surgery for treatment. We believe that the effective usage of radiologic modalities can decrease misdiagnosis and overteatment of acute abdominal pain.