Torsion of parietal-peritoneal fat mimicking acute appendicitis: A case report

被引：4

作者：

Hapuarachchi K.S. ^{[1
]}

Courtney E.D. ^{[1
]}

Gergely S. ^{[1
]}

Tang T.Y. ^{[2
]}

机构：

[1] Hinchingbrooke Hospital, Huntingdon PE29 6NT, Hinchingbrooke Park

[2] University Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 2QQ, Hills Road

来源：

Journal of Medical Case Reports | / 3卷 / 1期

关键词：

Appendicitis; Acute Appendicitis; Anterior Abdominal Wall; Acute Abdominal Pain; Iliac Fossa;

D O I：

10.1186/1752-1947-3-6980

中图分类号：

学科分类号：

摘要：

Introduction. 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. Case presentation. 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. Conclusion. 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. © 2009 Hapuarachchi et al; licensee Cases Network Ltd.

引用

共 6 条

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