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November 12, 1932


Author Affiliations

Flint, Mich.

JAMA. 1932;99(20):1684. doi:10.1001/jama.1932.27410720002010a

Two recent reports of the rarer abdominal conditions prompt a report of a case of gangrenous appendix epiploica, simulating acute appendicitis, in the left iliac region.

Max and Philip Thorek1 reported a case of epiploitis with abscess occurring two months after an operation for hernia. "In postoperative epiploitis two types are mentioned, one chronic, the other acute, of embolic or thrombotic origin."

G. H. Colt2 reported three cases of appendices epiploicae and says that Johanssen in 1927 collected reports of twenty cases from the literature. Localized pain and tenderness with nausea or vomiting would suggest the possibility of a torsion of an appendix epiploica. In the case to be reported there was no twist of the pedicle and hence the condition was of embolic or thrombotic origin.

REPORT OF CASE  A. B. L., a man, was apparently in good health until two days before I saw him, when

Thorek, Max, and Thorek, Philip:  Postoperative Epiploitis with Abscess ,  J. A. M. A. 98:1548 ( (April 30) ) 1932.Crossref
Colt, G. H.:  Three Cases of Torsion of an Appendix Epiploica of the Sigmoid Colon ,  Brit. J. Surg. 19:508 ( (Jan.) ) 1932.Crossref