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A Rare case of a 34-year-olf male with epiploic appendagitis / Alec Joshua R. Uy.

Contributor(s): Language: english Publication details: Fairview, Quezon City: Department of Internal Medicine, FEU-NRMF, 2020.Description: photos; (in folder) with CD (soft copy)Content type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
LOC classification:
  • MED 2020 0007
Summary: Abstract: This is a case of a 34-year-old male presenting with a four day history of left lower quadrant pain, loss of appetite, and loose watery stools. Physical examination revealed a slightly globular abdomen with direct tenderness of the left lower quadrant on deep palpation, and was otherwise unremarkable. The patient's complete blood count and urinalysis revealed normal results. On whole abdominal CT scan with contrast, the appendix was not inflamed, and no outpouchings were seen in the colonic segment. There was however, a fa density lesion with surrounding inflimatory changes was seen in the left lower quadrant beside the sigmoid colon, and the impression was: Appendagitis Epiploicae. The patient was initially treated as a case of Acute Gastroenteritis, was given Ciprofloxacin 400mg intravenously every 12 hours. Panoprazole 40mg was also given intravenously. On the 2nd hospital day, Whole Abdominal CT scan with contrast was done which revealed Appendagitis Epiploicae. On the 3rd hospital day, the aptient was noted to be pain-free, and was subsequently discharged. Epiploic Appendagitis is a rare gastrointestinal disease which may present with a localized abdominal pain with a lack of fever, vomiting, or laboratory indications of infection or inflammation. Its clinical picture mimics that of Acute Appendicitis, Acute Sigmoid Diverticulitis, Acute Urinary Tract Infection, or Gastroenteritis, to name a few. It is described by some authors as a self-limiting entity and some patients were reported to have had recovered in about 10 days with anti-inflammatory medical treatment.
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Abstract: This is a case of a 34-year-old male presenting with a four day history of left lower quadrant pain, loss of appetite, and loose watery stools. Physical examination revealed a slightly globular abdomen with direct tenderness of the left lower quadrant on deep palpation, and was otherwise unremarkable. The patient's complete blood count and urinalysis revealed normal results. On whole abdominal CT scan with contrast, the appendix was not inflamed, and no outpouchings were seen in the colonic segment. There was however, a fa density lesion with surrounding inflimatory changes was seen in the left lower quadrant beside the sigmoid colon, and the impression was: Appendagitis Epiploicae. The patient was initially treated as a case of Acute Gastroenteritis, was given Ciprofloxacin 400mg intravenously every 12 hours. Panoprazole 40mg was also given intravenously. On the 2nd hospital day, Whole Abdominal CT scan with contrast was done which revealed Appendagitis Epiploicae. On the 3rd hospital day, the aptient was noted to be pain-free, and was subsequently discharged. Epiploic Appendagitis is a rare gastrointestinal disease which may present with a localized abdominal pain with a lack of fever, vomiting, or laboratory indications of infection or inflammation. Its clinical picture mimics that of Acute Appendicitis, Acute Sigmoid Diverticulitis, Acute Urinary Tract Infection, or Gastroenteritis, to name a few. It is described by some authors as a self-limiting entity and some patients were reported to have had recovered in about 10 days with anti-inflammatory medical treatment.

Research - Department of Medicine

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