Retained Mesoappendix Fat Nodule Mimicking Appendicitis

Sarma Dr ,Deepthi Elza Thomas ,Monica Ingrid Watson

doi:10.15744/2575-5501.1.101

Abstract

Retained Mesoappendix Fat Nodule Mimicking Appendicitis

Highlights

Diseases of the appendix can be acute, acute recurrent or chronic
We describe a rare instance where a patient suffering from ongoing pain post appendicectomy was noted to have ongoing chronic inflammation in a retained mesoappendicular fat nodule
We present a rare case where re-operation two years post appendicectomy was performed for ongoing symptoms; and the cause noted to be a retained mesoappendicular fat nodule, mimicking as appendicitis again

Summary

Introduction

Diseases of the appendix can be acute, acute recurrent or chronic. Case reports in literature describe re-operation post appendisectomy at various time intervals for retained appendicolith. We present a rare case where re-operation two years post appendicectomy was performed for ongoing symptoms; and the cause noted to be a retained mesoappendicular fat nodule, mimicking as appendicitis again. The patient having suffered with chronic symptoms for almost two years was consented for a diagnostic laparoscopy. She underwent axial imaging (Computer tomography scan) prior to re-laparoscopy, which was normal except for some fatty stranding at the ileo-caecal junction (Figure 1). A diagnosis of retained mesoappendicular fat nodule necrosis was made to be the cause of her re presentation with symptoms mimicking acute appendicitis, two years post laparoscopic appendisectomy

Discussion

Conclusion