Laurice S San Jose
University of Santo Tomas Hospital, PhilippinesTitle: Non-surgical case of acute abdomen in an adolescent male: A case report on epiploic appendagitis
Abstract
Epiploic Appendagitis (EA) is an inflammation of the epiploic appendage and is a rare cause of abdominal pain that often manifests with an acute onset of abdominal pain. Prevalence of this disease among the pediatric age group is unknown, and is mentioned only in few case reports and series in the west. It can either be primary, wherein it occurs as an acute ischemic inflammation, resulting from torsion of an appendage or spontaneous thrombosis of a central draining vein. Or Secondary EA, when it is inflamed due to another process. We describe a rare case of Epiploic appendagitis in an eleven-year-old overweight adolescent male admitted as a case of acute abdomen, who presented with severe left lower quadrant pain. Computed Tomography (CT) scan with contrast showed pathognomonic signs of the disease (fat density ovoid structure adjacent to proximal sigmoid colon showing peripheral fat strandings, and a hyperattenuating ring-like structure) and was managed with antibiotics and analgesics. Patient improved, sent home, and remained asymptomatic since then. With a thorough history and physical examination, clinicians, radiologists and surgeons should be aware of the typical imaging findings of epiploic appendagitis in order to accurately diagnose this entity, and avoid further non-indicated pharmaceutical or surgical intervention.
Biography
Laurice S San Jose is a diplomate of the Philippine Pediatric Society, and she finished her residency at the University of Santo Tomas Hospital. She is currently a Fellow-In-training at the University of Santo Tomas Hospital under the Section of Pediatric Gastroenterology, Hepatology & Nutrition.
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