Hapuarachchi Kamal Sanjiva, Courtney Edward Douglas, Gergely Szabolcs, Tang Tjun Yip
J Med Case Rep. 2009 Apr 27;3:6980. doi: 10.1186/1752-1947-3-6980.
Infarctions of the greater omentum and appendices epiploicae are uncommon, but well documented causes of acute abdominal pain. We present a rare case of torted fat on the parietal peritoneum over the anterior abdominal wall, mimicking clinical signs of acute appendicitis, which was diagnosed at laparoscopy. We are aware of only two other similar reported cases, both of which were diagnosed at the time of laparotomy.
A 41-year-old Caucasian woman presented with clinical signs of acute appendicitis. On diagnostic laparoscopy, a non-inflamed appendix was found. Further exploration revealed a necrotic torted appendage of fat overlying the parietal peritoneum of the right iliac fossa of the anterior abdominal wall.
Torted fatty appendages can be a diagnostic dilemma often mimicking more common causes of an acute abdomen. Laparoscopy is an excellent tool making the correct diagnosis in such cases.
大网膜和网膜囊梗死并不常见，但却是急性腹痛的明确病因。我们报告一例罕见病例，前腹壁壁层腹膜上的脂肪扭转，酷似急性阑尾炎的临床体征，经腹腔镜检查确诊。据我们所知，仅有另外两例类似病例报告，均在开腹手术时确诊。
一名41岁的白人女性表现出急性阑尾炎的临床体征。诊断性腹腔镜检查发现阑尾无炎症。进一步探查发现，在前腹壁右髂窝的壁层腹膜上有一个坏死扭转的脂肪附属物。
扭转的脂肪附属物可能是一个诊断难题，常酷似更常见的急腹症病因。腹腔镜检查是在此类病例中做出正确诊断的极佳工具。
