Michael A, Zakry Y, Hanif H
Hospital Kuala Lumpur, Department of Surgery, Kuala Lumpur, Malaysia.
Med J Malaysia. 2017 Apr;72(2):128-129.
Epiploic appendagitis or appendices epiploicae, is a rare cause of abdominal pain in patients with mild signs of abdominal pathology. It mimics diverticulitis or appendicitis clinically as there are no pathognomonic features. It is a surgical diagnosis presenting with localised, sharp, acute abdominal pain, not associated with symptoms like nausea, vomiting, fever or suggestive laboratory values. With the availability of abdominal CT scans and ultrasound, it will frequently be a differential diagnosis preventing unnecessary surgery for patients. However, it may be erroneous and therefore clinical judgement is of paramount importance. This report highlights this rare presentation and identifies management guidelines.
网膜性阑尾炎或网膜阑尾,是腹部病理学轻度体征患者腹痛的罕见原因。由于没有特征性表现,它在临床上类似于憩室炎或阑尾炎。它是一种手术诊断,表现为局部、尖锐的急性腹痛,与恶心、呕吐、发热等症状或提示性实验室检查结果无关。随着腹部CT扫描和超声检查的应用,它常常成为鉴别诊断,可避免患者进行不必要的手术。然而,这可能会出现错误,因此临床判断至关重要。本报告强调了这种罕见表现并确定了管理指南。