Abstract:
Epiploic appendagitis (EA) is an uncommon intraabdominal pathology resulting in transient, localized pain. The condition is caused by ischemia of one of the epiploic appendages, which are distributed axially along the length of the colon. EA is often mistaken for other more common etiologies of an acute abdomen. Generally, the patients experience focal abdominal pain with no further symptoms or laboratory abnormalities. The authors encountered a 79-year-old male with severe sepsis and acute respiratory failure requiring intubation. He recovered rapidly after the identification and removal of a single EA. This paper reports the first case of EA leading to the systemic dysregulation of sepsis.
摘要:
上皮性阑尾炎(EA)是一种罕见的腹腔内病理导致短暂性,局部疼痛。这种情况是由一个表皮附件缺血引起的,它们沿结肠的长度轴向分布。EA经常被误认为是其他更常见的急腹症病因。一般来说,患者出现局灶性腹痛,没有进一步的症状或实验室检查异常。作者遇到了一名79岁的男性,患有严重的败血症和急性呼吸衰竭,需要插管。在识别和移除单个EA后,他迅速康复。本文报道了第一例EA导致脓毒症系统失调的病例。