2015
DOI: 10.1542/hpeds.2014-0032
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It’s Not Appendicitis...? Consideration of a Benign Mimicker

Abstract: Case: A previously healthy 16-year-old boy with a normal BMI presented to the emergency department with a 4-day history of severe, colicky pain in his right lower abdomen and right lower back. Before admission, while working as a cook in a restaurant, the patient reported twisting his torso and experiencing a stabbing pain on the right side of his abdomen that wrapped around to his right fl ank. The pain was so severe that he was taken by ambulance to a regional hospital. At the hospital, appendicitis was susp… Show more

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Cited by 3 publications
(4 citation statements)
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“…1 While the function of the appendages is unknown, they may provide protection and cushioning during peristalsis. 3 In adults, the longer appendages of the sigmoid colon are more likely to torse, accounting for 68% of cases. 2,4 In children, two-thirds of reported cases affect the cecum.…”
Section: Discussionmentioning
confidence: 99%
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“…1 While the function of the appendages is unknown, they may provide protection and cushioning during peristalsis. 3 In adults, the longer appendages of the sigmoid colon are more likely to torse, accounting for 68% of cases. 2,4 In children, two-thirds of reported cases affect the cecum.…”
Section: Discussionmentioning
confidence: 99%
“…2 While it can be difficult to distinguish epiploic appendagitis from omental infarcation on imaging, this distinction is not critical as both are treated with conservative management. 2,3 The treatment of epiploic appendagitis involves pain control, typically achieved with nonsteroidal anti-inflammatory drugs. In a case series of 12 adults with epiploic appendagitis, symptoms resolved spontaneously between 1 and 4 weeks, and no recurrence was found during the mean follow up period of 28 months.…”
Section: Discussionmentioning
confidence: 99%
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