학술논문
Epiploic Appendicitis in Differential Diagnosis of Acute Abdominal Pain: A Pediatric Case/Akut Karin Agrisi Ayirici Tanisinda Epiploik Apandisit: Cocuk Olgu
Case Report / Olgu Sunumu
Case Report / Olgu Sunumu
Document Type
Clinical report
Source
Journal of Pediatric Emergency and Intensive Care Medicine. August 2023, Vol. 10 Issue 2, p154, 4 p.
Subject
Language
English
ISSN
2146-2399
Abstract
Introduction Epiploic appendagitis (EA) is a mostly self-limiting, inflammatory/ischemic disorder that results from spontaneous torsion of fat-filled sacs formed by the peritoneum surrounding the colon or venous thrombosis. (1,2) Clinically, [...]
Epiploic appendicitis is an uncommon and self-limiting disease. Clinically, it can often mimic acute appendicitis or acute diverticulitis, which are more common causes of acute lower abdominal pain. A 16-year-old male patient was admitted to our pediatric gastroenterology outpatient clinic with complaints of diarrhea (4 times a day) and severe abdominal pain in the epigastric region for three days. Abdominal computed tomography showed normal pancreas, hepatosteatosis, thickening of the cecum wall, multiple mesenteric lymphadenopathy in the right lower quadrant, areas similar to fat necrosis and 25x20 mm lesions compatible with EA. The patient, whose clinical and laboratory findings improved completely with antibiotic therapy, was discharged. In this study, we aimed to draw attention to epiploic appendicitis, which is one of the causes of acute lower abdominal pain in children and should be kept in mind in order to prevent unnecessary operations. Keywords: Epiploic appendicitis, abdominal pain, pediatric case Epiploik apandisit nadir gorulen ve kendi kendini sinirlayan bir hastaliktir. Klinik olarak, siklikla akut alt karin agrisinin daha yaygin nedenlerinden olan akut apandisiti veya akut divertikuliti taklit edebilmektedir. On alti yasinda erkek hasta uc gundur ishal (gunde 4 kez), epigastrik bolgede ve sag alt kadranda siddetli karin agrisi sikayetleri ile cocuk gastroenteroloji poliklinigimize basvurdu. Karin bilgisayarli tomografisinde pankreas normal, hepatosteatoz, cekum duvarinda kalinlasma, sag alt kadranda cok sayida mezenterik lenfadenopati, yag nekrozuna benzer alanlar ve epiploik apandisit ile uyumlu 25x20 mm lezyonlar goruldu. Antibiyotik tedavisi ile klinik ve laboratuvar bulgulari tamamen duzelen hasta taburcu edildi. Bu calismada, cocuklarda akut alt karin agrisi nedenlerinden olan ve gereksiz operasyonlarin onlenmesi amaciyla akilda tutulmasi gereken epiploik apendisite dikkat cekmeyi amacladik. Anahtar Kelimeler: Epiploik apandisit, karin agrisi, cocuk olgu
Epiploic appendicitis is an uncommon and self-limiting disease. Clinically, it can often mimic acute appendicitis or acute diverticulitis, which are more common causes of acute lower abdominal pain. A 16-year-old male patient was admitted to our pediatric gastroenterology outpatient clinic with complaints of diarrhea (4 times a day) and severe abdominal pain in the epigastric region for three days. Abdominal computed tomography showed normal pancreas, hepatosteatosis, thickening of the cecum wall, multiple mesenteric lymphadenopathy in the right lower quadrant, areas similar to fat necrosis and 25x20 mm lesions compatible with EA. The patient, whose clinical and laboratory findings improved completely with antibiotic therapy, was discharged. In this study, we aimed to draw attention to epiploic appendicitis, which is one of the causes of acute lower abdominal pain in children and should be kept in mind in order to prevent unnecessary operations. Keywords: Epiploic appendicitis, abdominal pain, pediatric case Epiploik apandisit nadir gorulen ve kendi kendini sinirlayan bir hastaliktir. Klinik olarak, siklikla akut alt karin agrisinin daha yaygin nedenlerinden olan akut apandisiti veya akut divertikuliti taklit edebilmektedir. On alti yasinda erkek hasta uc gundur ishal (gunde 4 kez), epigastrik bolgede ve sag alt kadranda siddetli karin agrisi sikayetleri ile cocuk gastroenteroloji poliklinigimize basvurdu. Karin bilgisayarli tomografisinde pankreas normal, hepatosteatoz, cekum duvarinda kalinlasma, sag alt kadranda cok sayida mezenterik lenfadenopati, yag nekrozuna benzer alanlar ve epiploik apandisit ile uyumlu 25x20 mm lezyonlar goruldu. Antibiyotik tedavisi ile klinik ve laboratuvar bulgulari tamamen duzelen hasta taburcu edildi. Bu calismada, cocuklarda akut alt karin agrisi nedenlerinden olan ve gereksiz operasyonlarin onlenmesi amaciyla akilda tutulmasi gereken epiploik apendisite dikkat cekmeyi amacladik. Anahtar Kelimeler: Epiploik apandisit, karin agrisi, cocuk olgu