Digestive System Part۱

Total Page:16

File Type:pdf, Size:1020Kb

Digestive System Part۱ deudenum • ار و Retroperitoneal.. • : ، و، ا، د.. • از LL11 وع و در ف ن ((L(L22) د . • ١.. -- ، از ر دن ا.. ..Sup. Duodenal flexure در ف را LL11.. ورت:: ا و -- و ا.. ..portal v. & gastroduodenala. -- -- و دن اس.. ام ر و ام رگ ر . • ٢ . و : ، از دن ا LL33.. ..Inf. Duodenal flexure • • ورت : ا-- ب را و ا، ن ، رود ر.. -- را.. دا-- اس دو :: minor & . major duodenal papilla • ٣ . ا : از LL33 ف .. • ورت : -- IVC & aorta.. ا-- .sup. Mesentric v. & a.. -- اس -- رود ا.. . د : در ف رت و ذات LL22.. ..Duodenaojejunal flexure Suspensory lig. Of duodenum ن را دا.. ورت : ا-- ون .. -- Duodenal fossa ((clinically important )) • Inf. Duodenal fossa - در دـدم رو و LL33.. .(.( )) • Sup. Duodenal fossa-- در دـدم رو و LL22.. (( در ٠٠% ااد ).). • DuodenoDuodeno--jejunaljejunalfossa-- در رت و ..duodeno-mesentricmesentric • Paraduodenal fossa-- در دـدم رو و ز ل . و ور ا (?thrombosis) . • Retroduodenal fossa-- در ا ددم . Small Intestine • Jejunum & ileum در -- .. • از duodenojejunal junction • ileocecal ار او.. Large intestine • از ileocecal valve وع و anus د.. • Sigmoid colon از وع و در SS33 در ااد رم وا .. • وت رود :: ١.. .. ٢٢.. ٣ ار (( رم taeniataenia)).. ٣٣.. Epiploic appendix ( م ). م، ، رم E. Appendix.. ن ار.. • ت (( free, lateral, medial ) اد haustra coli د Cecum • وا در ز ileocecal valve.. • در : اس، اب رال و -- ر ران.. • Taenia coli : وع از . • ileocecal valve ٢ و .. • Sup. Ileocecal recess : و و ام.. • Inf. Ileocecal recess : ال و ..mesoappendix • Retrocecal recess : در م . Mesoappendix Triangular mesentery - • extends from terminal part of ileum to appendix Appendicular artery runs • in free margin of the mesoappendix • ت :: • درد در ف اس د • ا در retrocecal هم ا ه درد اد اه colon Ascending • • دا و ا : رود ا و ام رگ.. • : اس و ، ن ، اب ileohypogastircileohypogastirc,, ileoinguinal,ileoinguinal , lat fem cut • Transverse ((ن ا و )) • رط و ا رگ.. • ال ام رگ taenia omentalis . •descendingِِ • : ت اس، ، اس و ن . اب lat femo cut, genitofemoral ileohypogastric, ileoinguinal..ileoinguinal Transverse mesocolon double fold of peritoneum which connects transverse colon to the posterior abdominal wall Sigmoid mesocolon - inverted V-shaped,shaped,with apex located in front of left ureter and division of common iliac artery Sigmoid colon • در ا ss33 ن .. • ٢ ار در ر.. • در ض ردن.. • ال ون دار ، از رو l. Ureter وق ا و دال .. Rectum • ا در ا SS33.. Rectosigmoid angle • Anorectal junction • Sup, mid, infrectal valves • • در در ذات rectovesicle or rectouterine • Rectal fascia (( ر رم)) • در رم،٣ و ود دارد (( رط وان رم fascia of waldeyer و ن، ور، و رل .. taenia coli • Pouches In male- • rectovesical pouch In female • Rectouterine – pouch--between rectum and uterus Vesicouterine – pouch--between bladder and uterus Anal canal Anorectal junction • Hilton’s white line • Pectineal line or dentate line or anorectal line • • Anal column ( و ور ه ز )) • Anal sinuses (( ه ل)) • ورت : در .. در central tendon of perineum واژن و ا.. در : ext & intanal sphincter اب رود رگ • :: • را :: •• م،ن د،٢٢//٣٣ •• م،ن د،٢٢//٣٣ را ن :: TT1010 را ن : واگ LL11 TT99 & T1010 : •• •• ١١//٣٣ ن •• ١١//٣٣ ن ،ن و و ،ن و و ،رم : LL11&L&L22 ،رم : SS44 SS22 .
Recommended publications
  • Food. Its Destiny Was Presumably Cooking Purposes,In Minutes, and Appears to Think Ill of the Method
    827 importance of washing out the stomach to There could be little doubt of its rancidity get rid of irritating matter that causes the since the analyst reported that it contained pylorospasm, while others think this unnecessary ; 3’16 per cent. of fatty acids compared with a the administration of warm water enemas is often figure for fresh butter of well under 0’5 per cent. advised. In Germany the passage of sounds or The magistrate, after hearing chiefly chemical and catheters through the contracted pylorus to dilate practically no physiological evidence, decided that it mechanically has been widely advocated during the butter was fit for human consumption, and so the last five years. Hess argues that if a No. 15 no order was made under the regulations and the catheter will pass the pylorus there is no organic consignment was released. It does not appear to be stenosis. Dr. Delprat has tried this mode of treat- disputed that the butter was rancid, the question to ment several times, but could not make sure of decide being whether in that case it was unfit for passing the sound into the duodenum within 15 food. Its destiny was presumably cooking purposes,in minutes, and appears to think ill of the method. which its rancidity would become more or less Finally, the treatment of pylorospasm by drugs is obscured. Having regard to the nature of the process discussed. Among the drugs used have been opiates of rancidity, we may be wise in entertaining a and antispasmodics, such as cocaine, atropine sul- suspicion that rancid butter is not a wholesome phate, or novocaine (1 milligramme five times a day food.
    [Show full text]
  • Acquired Diverticula, Diverticulitis, and Peridiverticulities of the Large Intestine
    468 THE BRITISH JOURNAL OF SURGERY ACQUIBED DIVERTICULA, DIVEBTICULITIS, AND PEBIDnrERTICULITlS OF TEE LARGE INTESTINE. BY W. H. MAXWEZL TELLING AND 0. C. GRUNER, LEEDS. SUMMARY OF CONTENTS. I.-HISTORICAL AND INTRODUCTORY: Definition of the term ‘ diverticula ’- Distribution of diverticula over the intestma1 tract. 11.-ETIOLOGY. Usually pulsion diverticula and not congenital. 111.-SECONDARYPATHOLOGICAL PROCESSES : General considerations-Histology and bacteriology-Classificat.ion. IV.-CLINICAL ASPECTS,WITA SPECIAL REFEEENCE TO * The nature of perisig- molditis-Cases with right-sided symptoms-Fistula-The pelvic syndrome --Minucry of carcinoma. V.-DIAGNOSIS. VL-SOME UNUSUALCOMPLICATIONS. VII .-TREAT~NT. VIII.--GENERAL SURVEY. IX.-sCAEMA TO LINK W THE -4NATOMY OF THE DIVERTICULUMWITR ITS SECONDARYPATHOLOGY AND RESULTINGCLINICAL MANIFESTATIONS. X.-A SELECTEDLIST OF ILLUSTRATIVECASES. XI.-BIBLIOGRAPHY J.-HISTORICAL AND INTRODUCTORY. DIVERTICULITISis a condition which has now passed out of the realm of doubt and uncertainty into that of. proved and accepted fact. It has an important place in medical ’literature, and in the experience of every operating surgeon of large practice. This last statement is not as yet true of all clinicians, some of whom are still apparently unaware of the condition, and not a few of its frequency and clinical importance. Not until a morbid condition is described in all the ordinary student’s tcxt-books of medicine and surgery can it be said to have attained complete recognition, and this is not as yet the case with diverticulitis. - Diverticula of the intestinal tract have been noted by vanous observers for more than a century, but for the most part as isolated cases, often obscurely ‘buried’ in the literature.
    [Show full text]
  • Mimickers of Acute Appendicitis
    Appendicitis Mimics, Thompson et al. Mimickers of Acute Appendicitis Joel P. Thompson, M.D., MPH, Dhana Selvaraj, M.D., Refky Nicola, D.O. Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY Introduction of patients.2,3 The presence of intravenous and enteric contrast aids in identification of the appendix.3 Acute abdominal pain is the most common reason The appendix arises from the cecum inferior to the for an emergency department visit among patients age ileocecal junction (Fig. 1). MDCT signs of acute 15 and older, a large portion of them will complain of 1 appendicitis include appendiceal diameter > 7 mm pain localizing to the right lower quadrant. While with peri-appendiceal stranding of the mesenteric fat appendicitis is the most common cause of the surgical (Fig. 2A).4 Both findings are present in up to 93% of abdomen, a wide variety of acute gastrointestinal, appendicitis cases identified on MDCT.5 The diagnosis genitourinary, and gynecological pathologic processes of appendicitis should not be made using appendiceal can present in similar fashion (Table 1). Acute diameter alone; wall thickening and increased gastrointestinal diseases, such as Crohn’s disease, enhancement should also be present.6 Additional infectious enterocolitis, mesenteric adenitis, cecal findings include the presence of an appendicolith, diverticulitis, Meckel’s diverticulitis, epiploic cecal apical thickening (“arrowhead sign”), mesenteric appendagitis, and omental infarcts can present with adenopathy, fluid in the paracolic gutter, and the right lower quadrant. In addition, acute genitourinary presence of phlegmon.5 A focal wall defect, diseases, such as pyelonephritis and ureterolithiasis, extraluminal air, or presence of an abscess are signs of can present with similar symptoms.
    [Show full text]
  • Irreducible Paraumbilical Hernia with Free Fatty Body and Strangulated Appendix Epiploica in the Sac
    Case Report Open Access J Surg Volume 6 Issue 5 - November 2017 Copyright © All rights are reserved by Ganesh Shenoy K DOI: 10.19080/OAJS.2017.06.555698 Irreducible Paraumbilical Hernia with Free Fatty Body and Strangulated Appendix Epiploica in the Sac Ganesh Shenoy K*, Tulip and Makam Ramesh Department of Minimal Access and Bariatric Surgery, AV Hospital, India Submission: October 21, 2017; Published: November 10, 2017 *Corresponding author: Ganesh Shenoy K, Department of Minimal Access and Bariatric Surgery, AV Hospital, No 9, Patalamma temple street, Basavanaagudi, Bangalore-560004, India, Tel: ; E-mail: Abstract Hernias have a nature to surprise surgeons with their unexpected contents. Twisted and strangulated appendix epiploica of transverse colon and free fatty body as content of irreducible paraumbilical hernia is a rare entity to encounter. We report a 52 year old female with complaints of irreducible paraumbilical swelling associated with pain of one day duration. An ultrasound scan of abdomen showed 2x2 sq.cm defect with features of strangulated omentum in the hernial sac. To our surprise, the content of the sac was a free fatty body with twisted and strangulated appendix epiploica. It was reduced, resected and retrieved laparoscopically. An intraperitoneal composite mesh repair of the paraumbilical hernia was performed at the same sitting. The patient had an uneventful postoperative stay. Keywords: Appendix Epiploica; Paraumbilical hernia; Laparoscopic mesh repair Introduction abdomen showed 2x2 sq.cm defect with features of strangulated The common contents in paraumbilical hernia are omentum omentum in the hernia sac. She was admitted for emergency and small bowel loops. Very rarely there can be colon, appendix laparoscopic hernia repair under general anesthesia (Figures 1 or appendix epiploica as content of the sac.
    [Show full text]
  • Abdominal Eventration of an Epiploic Appendix: an Unusual Presentation
    Volume 1 Issue 1 www.escientificlibrary.com ES Journal of Case Reports Abdominal Eventration of an Epiploic Appendix: An Unusual Presentation Case report Gallego Rodríguez P*, Guillen-Astete C, Vaello Jodra V, Campos Ferrer M.C, Romio de las Heras E and Penedo Alonso R Emergency department, Ramón y Cajal University Hospital, Spain Received: Jan 27, 2020; Accepted: Feb 10, 2020; Published: Feb 11, 2020 *Corresponding author: P Gallego, MD, Emergency department, Ramón y Cajal University Hospital, Ctra Colmenar Viejo Km 9,1 28034 Madrid, Spain Copyright: © 2020 P Gallego. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Keywords Epiploic appendix; eventration Clinical presentation An 83-year-old woman, with no previous abdominal surgical history, presented to the emergency department of our hospital due to a mass of tissue that pierced the abdominal wall from the inside and protruded several centimetres outward. According to the patient, in the place of the exit of the abdominal contents, the previous days, thinning of the thickness of the skin and intestinal movements were noticed. The patient had no abdominal pain or fever. She also Figure 1: A: Ectoscopic aspect of the abdominal wall showing the exit had no alterations in the rhythm of intestinal transit. of abdominal contents through cutaneous dehiscence. B: Adipose tis- sue from omentum with a fibro inflammatory reaction and presence of On physical examination, the patient had normal vital foreign body granulomatous reaction.
    [Show full text]
  • Primary Epiploic Appendagitis
    DOI:10.24938/kutfd.529130 Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 2019;21(1): 102-107 Review Derleme THE INFLAMMATION OF EPIPLOIC APPENDIX: PRIMARY EPIPLOIC APPENDAGITIS Epiploik Apendiks Enflamasyonu: Primer Epiploik Apandajit Sevilay VURAL1, Figen COŞKUN2 1Yozgat Bozok Uygulama ve Araştırma Hastanesi, Acil Tıp A.D., YOZGAT, TÜRKİYE 2Dokuz Eylül Üniversitesi Tıp Fakültesi, Acil Tıp A.D., İZMİR, TÜRKİYE ABSTRACT ÖZ Epiploic appendices are extensions of omentum which covers most Epiploik apendiks kolonun çoğunu kaplayan omental of the colon. Most of the pathologic changes are related with uzantılardır. Patolojik değişikliklerin çoğu spontan torsiyon spontaneous torsion or venous thrombosis culminating with veya venöz tromboz sonrası oluşan enflamasyon ile inflammation and is referred as primary epiploic appendagitis ilişkilidir ve primer epiploik apandajit olarak adlandırılır. (PEA). There is no pathognomonic symptom, finding or laboratory Nispeten nadir görülen bu intra-abdominal patoloji için test for this relatively rare intra-abdominal inflammation. A non- herhangi bir patognomonik semptom, bulgu veya toxic patient with acute onset localized abdominal pain in the right laboratuvar testi yoktur. Sağ veya sol alt kadranda akut or left lower quadrant is the typical presentation. Imaging studies başlangıçlı lokalize karın ağrısı olan non-toksik such as ultrasound and tomography with the awareness of PEA in görünümdeki hasta tipik prezentasyondur. İntra-abdominal differential diagnoses of intra-abdominal pathologies are the key to patolojilerin ayırıcı tanısında primer epiploik apandajit correct diagnosis. Since the conservative treatment is sufficient in farkındalığı ile ultrason ve tomografi gibi görüntüleme most of cases, accurate and timely diagnosis can ensure the çalışmaları doğru tanı koymada anahtar role sahiptir. appropriate patient management and can prevent unnecessary Konservatif tedavi çoğu durumda yeterli olduğundan doğru hospitalizations and interventions.
    [Show full text]
  • Primary Epiploic Appendagitis: Clinical and Radiological Manifestations
    Original Articles Primary Epiploic Appendagitis: Clinical and Radiological Manifestations Nurith Hiller MD, Daniel Berelowitz MD and Irith Hadas-Halpern MD Department of Radiology, Shaare Zedek Medical Center, Jerusalem, Israel Key words: epiploic appendix, appendagitis, imaging Abstract operation for this self-limited condition. Ultrasonography Background: Primary epiploic appendagitis is a rela- and especially computed tomography are the best diagnostic tively rare condition in which torsion and inflammation of techniques and are of paramount importance in differ- an epiploic appendix result in localized abdominal pain. entiating PEA from clinically similar but surgically treated This is a non-surgical situation that clinically mimics other conditions. conditions requiring surgery such as acute diverticulitis or On the basis of five new cases of PEA and in the light of appendicitis. the worldwide literature, we present a summary of the main Objective: To investigate the clinical, laboratory and clinical, CT and ultrasonographic features of this condition. radiological findings of the disease. Methods: During the years 199588 five patients with Patients and Methods primary epiploic appendigitis were diagnosed at our As a general rule in our institution, patients with suspected institution. The clinical, laboratory and imaging results diverticulitis undergo emergency CT whereas suspected were summarized and compared to previously reported appendicitis is imaged with abdominal ultrasound. In the series. Emphasis was placed on the computed tomography presence of severe abdominal pain of unclear origin both CT findings, which are the gold standard for diagnosis. and ultrasound are usually performed. Results: All our patients (two males and three females, Between January 1995 and May 1998 PEA was diagnosed mean age 47 years) presented with left lower quadrant in five patients on the basis of CT findings.
    [Show full text]
  • Acute Apendagitis and Appendicular Agenesis, Case Report
    MOJ Clinical & Medical Case Reports Case Report Open Access A very rare association: acute apendagitis and appendicular agenesis, case report Abstract Volume 4 Issue 4 - 2016 Background: Apendagitis is an entity with an incidence about 8.8: 1,000,000 Torres Delgado Arsenio,1 Carlos Hernandez habitants. It represents difficult diagnosis pathology, completed many times only Brito,1 Luis Antonio Cortez Perez,1 Luis after surgical exploration. The association of Apendagitis with vermiform appendix 2 agenesis has never been reported before in literature. Angel Medina Andrade, Jaime Abdel Diaz Ramos,2 Juan Carlos Méndez Chávez,2 Case: A 4 years-old female present at emergency room with abdominal pain of 2days Humberto Hidalgo Ibarra,2 Alicia Itzel of evolution. At physical exam with tachycardia, tachypnea, temperature of 38ºC, Hickman Alvarez,2 Eduardo Vidrio Duarte,3 dehydrated, abdominal pain localized in right iliac fossa, Mc Burney sign, other Carlos Eduardo Rodriguez Rodriguez,3 Silva appendicular signs absents, without bowel sounds. Laboratories report leucocytes 4 14800 with neutrophils 78%. Without US or CT scan image in the hospital during Gonzalez Misael, Edgar Omar Teolotitla 5 night, acute appendicitis diagnosis was carried out and an appendectomy programmed. Rosales During surgery and after Cattel maneuver the vermiform appendix was not found and 1General Surgery Department, Corporativo Médico Quirurgico a Meckel diverticulum discarded. Mc Burney incision was extended and a necrotic Torres, Mexico 2 epiploic appendix found in the ascendant colon, it was removed. Diagnosis of General Surgery Department, Hospital General de Zona #30, Mexico Apendagitis and appendicular agenesis was registered and after twodays of analgesia 3General Surgery Department, Hospital Angeles Metropolitano, treatment, patient was discharged without complications.
    [Show full text]
  • Innov Surg Sci 2017; 2, (Suppl 1): S169–S216
    Abstracts – DGCH Annual Congress 2017 – Munich, March 21–24. DOI 10.1515/iss-2017-2002 s169 Innov Surg Sci 2017; 2, (Suppl 1): s169–s216 Open Access From Axolotl to AmbLOXe – Transferring amphibian regeneration to mammalian wound healing (Abstract ID: 57) S. Strauß1, A. Stamm2, C. Liebsch1, I. Pepelanova2, T. Scheper2, P. M. Vogt1 1Medizinische Hochschule Hannover, Hannover 2Leibniz Universität Hannover, Hannover Background: In contrast to mammals, caudates like the Mexican axolotl (Ambystoma mexicanum) (Figure 1) are able to regenerate complex body structures such as limbs or even whole organs. This ability has turned the axolotl into a famous model organism for regeneration research. In the case of severe injury or amputation, hemostasis proceeds within seconds, followed by the induction of processes leading to complete regeneration of the lost tissue. AmbLOXe, an epidermal lipoxygenase, was identified to play a role in regeneration processes of the axolotl. Several studies have shown a significant influence of AmbLOXe gene expression in mammalian cells as well. During in vitro experiments, AmbLOXe-transfected cells migrated faster and therefore closed wound gaps sooner compared to controls expressing a human lipoxygenase. A proof- of-concept trial in vivo showed similar effects of skin wound treatment with AmbLOXe-expressing cells. For clinical application, it is of interest to have access to sufficient quantities of biologically active AmbLOXe enzyme. Therefore, a strategy for the production and isolation of the enzyme from an E. coli system was devised. Materials and methods: Human keratinocytes and U2-OS cells were transfected with pIRES-EGFP vector (Clontech) containing the genetic sequence of AmbLOXe for a transient expression.
    [Show full text]
  • Acute Abdomen Due to Epiploic Appendagitis
    LETTER TO THE EDITOR ASIAN JOURNAL OF MEDICAL SCIENCES Acute abdomen due to epiploic appendagitis Submitted: 18-04-2019 Revised: 22-04-2019 Published: 01-05-2019 Access this article online Dear Editor, Website: http://nepjol.info/index.php/AJMS As you are aware, epiploic appendagitis is a rare cause DOI: 10.3126/ajms.v10i3.23656 of acute abdomen, and can mimic other pathologies for E-ISSN: 2091-0576 abdominal pain. It results from torsion and inflammation P-ISSN: 2467-9100 of an epiploic appendix, thereby leading to localized abdominal pain. Due to its vague presentation, the diagnosis can often be challenging. Epiploic appendagitis refers to inflammation of one or more of the appendices epiploicae, which are small, A 24 year old male, with no known comorbidities, presented serosa-covered fat pads attached to the outer surface of to Medicine department with severe left lower abdominal pain the colonic wall, measuring from 0.5 cm to 5 cm in length since morning. The pain was acute on onset and progressive and 1 to 2 cm in width. There are nearly 100 appendages with no other associated symptoms. On abdominal palpation, scattered throughout the peritoneal cavity.1,2 They are he had severe left iliac tenderness with no radiation. His distributed along the rectosigmoid junction (57%), ileocecal vitals and other systemic examinations were normal. His region (26%), ascending colon (9%), transverse colon (6%) blood investigations like complete blood counts, renal and and descending colon (2%).3-5 The condition can occur liver functions, electrolytes and calcium were normal. Urine at any age, with incidence being slightly higher in males.6 microscopy did not show any pus cells.
    [Show full text]
  • Mortality Associated with Gastrointestinal Bleeding in Children: a Retrospective Cohort Study
    Children's Mercy Kansas City SHARE @ Children's Mercy Manuscripts, Articles, Book Chapters and Other Papers 3-7-2017 Mortality associated with gastrointestinal bleeding in children: A retrospective cohort study. Thomas M. Attard Children's Mercy Hospital Mikaela Miller Children's Mercy Hospital Chaitanya Pant Ashwath Kumar Mike Thomson Follow this and additional works at: https://scholarlyexchange.childrensmercy.org/papers Part of the Digestive System Commons, Gastroenterology Commons, and the Pediatrics Commons Recommended Citation Attard, T. M., Miller, M., Pant, C., Kumar, A., Thomson, M. Mortality associated with gastrointestinal bleeding in children: A retrospective cohort study. World journal of gastroenterology : WJG 23, 1608-1617 (2017). This Article is brought to you for free and open access by SHARE @ Children's Mercy. It has been accepted for inclusion in Manuscripts, Articles, Book Chapters and Other Papers by an authorized administrator of SHARE @ Children's Mercy. For more information, please contact [email protected]. Submit a Manuscript: http://www.wjgnet.com/esps/ World J Gastroenterol 2017 March 7; 23(9): 1608-1617 DOI: 10.3748/wjg.v23.i9.1608 ISSN 1007-9327 (print) ISSN 2219-2840 (online) ORIGINAL ARTICLE Retrospective Cohort Study Mortality associated with gastrointestinal bleeding in children: A retrospective cohort study Thomas M Attard, Mikaela Miller, Chaitanya Pant, Ashwath Kumar, Mike Thomson Thomas M Attard, Department of Gastroenterology, Children’s Mercy Hospital, Adele Hall, 1605.00, 2401 Gillham Rd, Kansas,
    [Show full text]
  • Unusual Case-Torsion of the Epiploic Appendix: an Unusual Cause of Acute Abdomen
    Unusual Case Torsion of the epiploic appendix: An unusual cause of acute abdomen Samik Kumar Bandyopadhyay, Mayank Jain, Shashi Khanna, Bimalendu Sen, Om Tantia Department of Minimal Access Surgery, ILS Multipseciality Clinic, , Kolkata, India Address for correspondence: Dr. Om Tantia, ILS Multispeciality Clinic, “Jeewansatya”, DD - 6, Sector - I, Salt Lake City Kolkata - 700 064, India. E-mail: [email protected] Abstract of 1320 cases of acute abdominal pain by Golash[1] only eight cases were due to acute epiploic Summary: Torsion of an epiploic appendix is a rare appendagitis. The site of pain may vary according to surgical entity.We present our experience in a thirty five year old female patient and a forty year old the position of the inflamed appendage. Hence, it male patient. Materials and Methods: A 35 year may mimic acute appendicitis, acute cholecystitis or old lady had presented with right iliac fossa pain of acute diverticulitis. 2 days duration. Guarding and rebound tenderness was present over the area. Investigations showed We report two cases where the clinical presentations mild leucocytosis and neutrophilia. Diagnostic laparoscopy revealed an inflamed epiploic appendix mimic acute appendicitis. It was only on diagnostic which was excised. Other intrabdominal organs were laparoscpy that.com). gangrenous appendix epiploicae on normal. A 40 year old male patient had presented the ascending colon was found in both the cases and with a history of recurrent, colicky, and paroxysmal proper management by excision of the gangrenous right lower quadrant pain for 2 months. At epiploicae undertaken. laparoscopy, an inflamed torted epiploic appendix of the ascending colon was detected and excised.
    [Show full text]