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dc.contributorHarrington, Patricken_US
dc.description.abstractIntroduction: Epiploic appendagitis is an uncommon, usually benign but exquisitely painful inflammation of the adipose appendages that are located on the colon. It can prove to be a diagnostic dilemma and may be mistaken for diverticulitis, appendicitis or indeed in this case ovarian torsion leading to unnecessary admission, administration of antibiotics or surgical procedures. Methods: I present the case of a morbidly obese nursing student who presented with severe left iliac fossa pain in the setting of a known left ovarian cyst. She was initially thought to have ovarian torsion but at laparoscopy was discovered to have this infrequent and self‐limiting non‐gynecological condition. Results: Epiploica are pedunculated protrusions of fatty, serosa covered structures found along the entire course of the colon but more common and generally larger in the transverse and sigmoid colon. Each appendage has its own blood supply and they are greater in size, more abundant and most obvious in patients with increased BMI and in those who have recently lost weight. Acute torsion causes ischemia and infarction with aseptic fat necrosis and spontaneous venous thrombosis. While epiploic appendagitis itself is quite rare the type encountered in this case‐ that in the descending colon‐ is the least frequently occurring at 2%. Diagnosis primarily relies on imaging modalities such as CT with the most common finding being mesenteric stranding, fat density ovoid lesions with surrounding inflammation, occasionally there is a high‐attenuated dot within the inflamed appendage representing a thrombosed draining vein. Discussion: I discuss the clinical manifestations, appropriate diagnostic tools and management of this condition.en_US
dc.description.provenanceSubmitted by Gemma Siemensma ( on 2019-02-07T01:15:48Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma ( on 2019-02-21T02:10:10Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2019-02-21T02:10:10Z (GMT). No. of bitstreams: 0 Previous issue date: 2017en
dc.titleEpiploic appendagitis – an uncommon cause of pelvic pain in the obese female.en_US
dc.bibliographicCitation.conferencedateOctober 29th – November 1sten_US
dc.bibliographicCitation.conferencenameRoyal Australian and New Zealand College of Obstetricians and Gynaecologists 2017 Annual Scientific Meetingen_US
dc.bibliographicCitation.conferenceplaceAuckland, New Zealanden_US
dc.subject.healththesaurusEPIPLOIC APPENDAGITISen_US
dc.subject.healththesaurusADIPOSE APPENDAGESen_US
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