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April 1958

Epiploic Appendages as a Cause of Intestinal Obstruction: Report of Two Cases

Author Affiliations

Hollywood, Fla.

AMA Arch Surg. 1958;76(4):555-558. doi:10.1001/archsurg.1958.01280220075014

The epiploic appendages are rarely the cause of intra-abdominal disease necessitating surgical intervention. Even less common is the occurrence of mechanical intestinal obstruction on the basis of disease involving them. In a recent study, Lynn et al.1 found 156 reported cases, of which 13 presented with intestinal obstruction. They further reviewed the records of the Mayo Clinic for a 13-year period (1940-1953) and found 17 cases of symptoms resulting from disease involving these appendages. Of these 17 cases, only 2 presented with intestinal obstruction. In the past two years, two cases of mechanical bowel obstruction on the basis of epiploic appendagitis have been diagnosed and surgically corrected in the Memorial Hospital, Hollywood, Fla. The following case histories will reveal that both these patients presented with classical signs and symptoms of mechanical bowel obstruction. Each presented x-ray evidence of an obstructive lesion of the large bowel. Both these cases were

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