Twisting Lipoma Presenting as Appendicitis-A Rare Presentation

Right iliac fossa (RIF) pain is the most common presenting complaint in the general surgical ward. Though there are several causes for the RIF pain, acute appendicitis is the first and common diagnosis. Here we present one of the rare differential diagnoses of RIF pain in a young female patient wi...

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Bibliographic Details
Main Authors: Basavapatna Ramakrishnaiah Sathyakrishna, Suryanarayan Giridhar Boggaram, Nagamalleswara Rao Jannu
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2014-08-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/4728/9663_CE(Ra)_F(Sh)_PF1(ABAK)_PFA(AK)_PF2(PAG).pdf
Description
Summary:Right iliac fossa (RIF) pain is the most common presenting complaint in the general surgical ward. Though there are several causes for the RIF pain, acute appendicitis is the first and common diagnosis. Here we present one of the rare differential diagnoses of RIF pain in a young female patient with one month history of intermittent right lower abdominal pain. Patient’s symptoms and clinical findings indicated acute appendicitis, though ultrasonography didn’t show any significant abnormality. Through diagnostic laparoscopy we found that there was torsion of anterior abdominal wall parietal peritoneal pedunculated lipoma located in RIF region. The clinical presentation, examination, investigation, laparoscopic findings and further management is presented in this case report.
ISSN:2249-782X
0973-709X