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March 1953

APPENDICES EPIPLOICAE: CLINICAL AND PATHOLOGICAL CONSIDERATIONS: Report of Three Cases and Statistical Analysis on One Hundred Five Cases

Author Affiliations

From the Department of Surgery, Veterans Administration Hospital.; Junior Resident in Surgery, now at the Veterans Administration Hospital, East Orange, N. J. (Dr. Fieber).; Senior Resident in Surgery (Dr. Forman).

AMA Arch Surg. 1953;66(3):329-338. doi:10.1001/archsurg.1953.01260030344008

APPENDICITIS epiploica should no longer be regarded as a surgical or pathological oddity. Owing to improved methods of diagnosis and to more painstaking and searching scrutiny of the viscera, as displayed at laparotomy, it can be demonstrated that appendicitis epiploica occurs more frequently than was commonly supposed.

After reviewing 105 cases from the literature, with 3 additional cases,1 a comprehensive study of clinical entities related to appendices epiploicae has been made. Only those cases with symptoms primarily leading to surgical intervention are included in this series. Cases in which loose calcified bodies were fortuitously found in the abdominal cavity are deliberately eliminated because it is difficult to correlate the clinical findings, if any, with the pathological findings in these instances.

Although it cannot be classified with acute appendicitis as a highly treacherous disease, appendicitis epiploica has been directly responsible for fatalities and has caused severe surgical complications. In this

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