Abramov Daniella, Daniel Rachel, Pellegrini James R, Rivera Ana P
Plastic Surgery and General Surgery, New York Institute of Technology College of Osteopathic Medicine, New York, USA.
Internal Medicine, American University of the Caribbean School of Medicine, East Meadows, USA.
Cureus. 2023 Jul 10;15(7):e41648. doi: 10.7759/cureus.41648. eCollection 2023 Jul.
Epiploic appendages are fat-filled sacs that are generally located along the surface of the large intestine. In most cases, epiploic appendagitis (EA) is described as an ischemic infarction of an epiploic appendage as the result of torsion or spontaneous thrombosis of the central draining vein of the epiploic appendage. The patient described in this report presented with a sudden onset of diffuse abdominal pain, nausea, and fever. CT scan of the abdomen and pelvis with oral contrast revealed EA of the sigmoid colon. Along the course of the admission, the patient became septic with blood cultures growing . In this case, we present a rare presentation of sepsis in the setting of EA, a usually uncomplicated and self-resolving presentation of abdominal pain.
网膜附件是充满脂肪的囊袋，通常位于大肠表面。在大多数情况下，网膜附件炎（EA）被描述为网膜附件的缺血性梗死，这是由于网膜附件中央引流静脉扭转或自发性血栓形成所致。本报告中描述的患者突然出现弥漫性腹痛、恶心和发热。口服对比剂的腹部和盆腔CT扫描显示乙状结肠的网膜附件炎。在住院过程中，患者发生脓毒症，血培养有细菌生长。在这种情况下，我们展示了EA情况下脓毒症的罕见表现，EA通常是一种腹痛的不复杂且可自行缓解的表现。
