Case Report

Torsion, Necrosis, and Inflammation of an Epiploic Appendix of the Large Bowel A Diagnostic and Therapeutic Dilemma

Authors: ACHILLES N. CHATZIIOANNOU MD, PANAYIOTIS J. ASIMACOPOULOS MD, ROBERT S. MALONE MD, SPYROS G. PNEUMATICOS MD, HAZIM J. SAFI MD

Abstract

ABSTRACT: We present the case of a young patient with abdominal pain of 3 weeks' duration and a preoperative presumptive diagnosis of acute appendicitis, diverticulitis, colon perforation, or possibly neoplasm. Even after resection of a large mass involving the right colon, the diagnosis was not confirmed until surgical pathology identified torsion, partial necrosis, and inflammation of an epiploic appendix of the right colon.

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References