Ömer TAŞKIN, Ayça AÇIKALIN AKPINAR, Nezihat Rana DİŞEL

Epiploik Apandisit: Nadir görülen bir akut karın ağrısı vakası

Epiploik Apandisit (EA) cerrahi akut batın ile karışabilen, appendiks epiploica’nın akut inflamasyonuna bağlı bir durumdur. Biz bu yazıda sol alt kadran ağrısıyla acil servise başvuran 22 yaşında bir erkek hastayı bildiriyoruz. Hastanın muayenesinde hafif taşikardisi, hassasiyeti ve defansı vardı ve beyaz küresi yüksekti. Hastaya bilgisayarlı tomografi kullanılarak epiploik apandisit tanısı konuldu. Hasta ağrı kontrolü ve takip için genel cerrahi servisine yatırıldı. Herhangi bir komplikasyon veya cerrahi operasyon olmadan taburcu edildi. Epiploik apandisit bulantı, kusma, ateş gibi bulguları olmayan izole karın ağrılı hastalarda akla gelmesi gereken bir durumdur. Bu yazıyı yazmaktaki amacımız karın ağrılı hastalarda bu tanıyı da hatırlatmak ve hastalara gereksiz cerrahi girişimi önlemektir.

Anahtar Kelimeler:

epiploik apandisit, cerrahi acil, karın ağrısı

Epiploic Appendagitis: A rare case of acute abdominal pain

Epiploic appendagitis (EA) is a rare condition caused by the acute inflammation of an appendix epiploica which may interfere with the causes of acute surgical abdominal pain. Here we report a 22-year-old male who applied to the emergency room with an abdominal pain in left lower quadrant. He had a mild tachycardia, tenderness and guarding on the physical examination and elevated white blood cell count. The patient was diagnosed with EA which was confirmed by computed tomography. The patient was then hospitalized in general surgery clinic for pain management and follow up. The patient was discharged from hospital without any operative treatment or further complications. Epiploic appendagitis should be considered in patients with isolated abdominal pain without symptoms such as nausea, vomiting, fever. Our goal by reporting this case is to remind this diagnosis and prevent patients from unnecessary surgery.

Keywords:

epiploic appendagitis, surgical emergency, abdominal pain,

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