Abstract:

Epiploic appendicitis (EA) is a rare cause of abdominal pain that is mostly treated with medical treatment. However, in some cases, surgery is required for recovery. In this case report, a case of EA and acute appendicitis, detected simultaneously, is presented. A 32-year-old-man who had tenderness and rebound at right upper quadrant was admitted to emergency department. In computed tomography scan, there was an inflamed area around the hepatic flexure, and the appendix was normal. Diagnostic laparoscopy was planned because the patient was not relieved by medical treatment. Resection of necrotic tissues was performed together with appendectomy. The patient was discharged on the seventh day of his admission because his oral intake was normal, his abdominal examination was comfortable, and his inflammatory parameters decreased to normal levels. In the pathological evaluation of the operation specimen, acute appendicitis, localized peritonitis and necrotic EA were observed.

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