tailieunhanh - Báo cáo y học: "Torsion of parietal-peritoneal fat mimicking acute appendicitis: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Torsion of parietal-peritoneal fat mimicking acute appendicitis: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Case report Torsion of parietal-peritoneal fat mimicking acute appendicitis a case report Kamal Sanjiva Hapuarachchi1 Edward Douglas Courtney1 Szabolcs Gergely1 and Tjun Yip Tang2 Open Access Address 1Hinchingbrooke Hospital Hinchingbrooke Park Huntingdon PE29 6NT UK and 2University Department of Radiology Cambridge University Hospitals NHS Foundation Trust Hills Road Cambridge CB2 2QQ UK Email KSH - kamal_ha@ EDC - edjc1972@ SG - TYT - tt279@ Corresponding author Published 27 April 2009 Received 20 November 2008 Journal of Medical Case Reports 2009 3 6980 doi 1752-1947-3-6980 Accepted 23 January 2009 This article is available from http jmedicalcasereports article view 3 4 6980 2009 Hapuarachchi et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Infarctions of the greater omentum and appendices epiploicae are uncommon but well documented causes of acute abdominal pain. We present a rare case of torted fat on the parietal peritoneum over the anterior abdominal wall mimicking clinical signs of acute appendicitis which was diagnosed at laparoscopy. We are aware of only two other similar reported cases both of which were diagnosed at the time of laparotomy. Case presentation A 41-year-old Caucasian woman presented with clinical signs of acute appendicitis. On diagnostic laparoscopy a non-inflamed appendix was found. Further exploration revealed a necrotic torted appendage of fat overlying the parietal peritoneum of the right iliac fossa of the anterior abdominal wall. Conclusion Torted fatty appendages can be a diagnostic dilemma often mimicking more common causes of an