Case Report

Primary Epiploic Appendagitis of vermiform appendix: a rare case

10.5455/gulhane.197393

  • Şahin Kaymak
  • Mustafa Tahir Özer
  • Hasan Şahin
  • Orhan Kozak
  • Murat Urkan
  • İbrahim Yavan

Received Date: 25.07.2015 Accepted Date: 26.01.2016 Gulhane Med J 2016;58(4):422-423

Introduction:

Epiploic appendagitis (EA) may develop as a result of torsion of appendix epiploicae. EA affect the colon and is confused with other acute abdominal pathology. We present misdiagnosed ischemic epiploic appendagitis that present at the vermiform appendix.

Case:

A 63 years-old patient presented with the complaint of abdominal pain. She had right lower quadrant pain, tenderness and rebound tenderness. Then, increased white blood cell(WBC) count (13300 cells/μL). We conform to the emergency abdominal surgery (Appendectomy). During the operation an ischemic and gangrenous appendix epilploica that present at the vermiform appendix was observed. Then , appendectomy was performed with attached infarcted appendix epiploica.

Conclusion:

Case with ischemic epiploic appendagitis that present at the vermiform appendix may be confused with other acute abdomen clinique. Surgeons should be aware of this self-limiting disease.

Keywords: Epiploic Appendagitis, vermiform appendix, a rare case