Abstract
Cecal epiploica appendix torsion in a female child mimicking acute appendicitis: a case report
Highlights
Torsion and infarction of appendiceal epiploicae may rarely be found in adults of any age that are treated for acute abdominal pain, it is very rare in younger children
A correct preoperative diagnosis is essential because the patient can be treated conservatively to avoid an unnecessary operation; many authors suggest that the definitive treatment of epiplocae appendicae torsion should be the surgical excision
Epiplocae appendicae are pendulant adipose structures protruding from the serosal surface of the large intestine that are arranged in two separate longitudinal rows
Summary
Torsion and infarction of appendiceal epiploicae may rarely be found in adults of any age that are treated for acute abdominal pain, it is very rare in younger children. The majority of epiploica appendix torsion cases occur in the sigmoid colon of middle aged men suffering from acute abdominal pain of the left lower abdomen. Case presentation An 8-year-old Greek girl presented with acute abdominal pain in the right lower quadrant that begun ten hours before. The patient operated on an emergency basis for acute abdomen and an ischemic, twisted, 4 cm long appendix epiploica in cecum was found (Figure 1). The histological examination of the specimen revealed an ischemic infarct of the appendix epiploica adipose tissue, while the histological examination of the veniform appendix was normal (Figure 2). The pain immediately disappeared postoperatively and the patient was discharged the third postoperative day, without presenting any postoperative complications
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