000			02413nam a22002537a 4500
999			_c12048 _d12048
001			MED 2020 0007
003			PILC
005			20240720153218.0
008			211105b xxu||||| |||| 00| 0 eng d
040			_beng _cFEU-NRMF MEDICAL LIBRARY _erda
041			_aenglish
050			_aMED 2020 0007
245			_aA Rare case of a 34-year-olf male with epiploic appendagitis / _cAlec Joshua R. Uy.
260			_aFairview, Quezon City: _bDepartment of Internal Medicine, FEU-NRMF, _c2020.
300			_bphotos; _c(in folder) _ewith CD (soft copy).
336			_2rdacontent _atext
337			_2rdamedia _aunmediated
338			_2rdacarrier _avolume
504			_aIncludes bibliographical references.
520			_aAbstract: 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.
521			_aRESDM
700			_aUy, Alec Joshua R., MD. _eauthor
942			_2lcc _cRU