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Revista de la Facultad de Medicina (México)

On-line version ISSN 2448-4865Print version ISSN 0026-1742


GAMEZ ORRANTIA, Jesús Angélica; GARCIA VALDEZ, Tania Iliana  and  ROJAS VILLEGAS, María del Sagrario. Non-surgical appendicitis. A case report. Rev. Fac. Med. (Méx.) [online]. 2019, vol.62, n.5, pp.21-25.  Epub Jan 12, 2021. ISSN 2448-4865.


In this article we report the case of an elder male patient with acute abdomen and non-specific symptomatology who was diagnosed with appendagitis.

Materials and methods

Anamnesis, physical exploration, blood test and a computed tomography scan.


A 98-year-old male arrived to the emergency room with diarrhea, nausea, fever, general abdominal pain and leukocytosis. In the computed tomography scan, data of epiploic appendagitis was reported, therefore symptomatic treatment was given.


Epiploic appendagitis is an inflammatory process produced by structural damage due to a torsion that causes hemorrhagic or ischemic zones. It can also be caused by near inflammatory process that affects appendices resulting in infarct or fat necrosis. It is an infrequent reason of abdominal pain and it can simulate other causes of acute abdomen. This disease is diagnosed by imaging, specially with a computed tomography scan, since its symptomatology is unspecific. The most common risk factors for this desease are previous surgeries, obesity and it’s more common in female patients at their forties.


This disease is infrequent but it is necessary to make a differential diagnosis of other more common surgical entities in order to reach its diagnosis and timely treatment.

Keywords : Apendagitis; acute abdomen; epiploic appendix.

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