Appendagitis acute, a rare cause of abdominal pain: A case report

• Main Authors: S.I. Gamboa-Hoil, Y.G. De la Paz-Ponce, F. Pat-Cruz, H.G. Heredia-Barrera, J. Rivero-Osorio
• Format: Article
• Language: English
• Published: Permanyer 2018-04-01
• Series: Revista Médica del Hospital General de México
• Online Access: http://www.sciencedirect.com/science/article/pii/S0185106316300178

Cecal appendagitis or cecal epiploic appendicitis is produced by torsion or thrombosis of a vascular pedicle of an epiploic appendix; it presents itself as pain in the right iliac fossa, simulating an acute appendicitis; having a self-limiting course with spontaneous resolution within 2 weeks. It does not require surgery, but only treatment with painkillers.We report the case of a male patient who came to the emergency room with pain in the right iliac fossa; without improvement of symptoms, he underwent surgery resulting with cecal appendagitis, his treatment and subsequent evolution. Resumen: La apendagitis cecal o apendicitis epiploica cecal se produce por la torsión o trombosis del pedículo vascular de un apéndice epiploico. Se presenta como dolor en fosa iliaca derecha, simulando un cuadro de apendicitis y tiene un curso autolimitado con resolución espontánea en 2 semanas. El tratamiento es a base de analgésicos sin requerir cirugía.Se presenta el caso de un paciente masculino con dolor persistente en fosa iliaca derecha, intervenido quirúrgicamente y con reporte histopatológico de apendicitis epiploica cecal. Keywords: Cecal appendagitis, Cecal epiploic appendicitis, Palabras clave: Apendagitis cecal, Apendicitis epiploica cecal