R

C

Eue

Ad

A

a

b

Assrhcn

McG

U2

(

2t

evista de Gastroenterología de México. 2015;80(4):276---277

www.elsevier.es/rgmx

REVISTA DEGASTROENTEROLOGIA

DE MEXICO´

´

LINICAL IMAGE IN GASTROENTEROLOGY

piploic appendagitis in an 80-year-old woman, anncommon cause of acute abdominal pain in thelderly�

pendicitis epiploica en una mujer de 80 anos, una causa poco frecuentee abdomen agudo en el anciano

. González-Garcíaa,∗, M. Escribano-Pérezb, S. Diz Farinaa

Internal Medicine Service, Hospital Universitario Ramón y Cajal, Madrid, Spain

ro, M

rcebeculation of the locoregional fat (fig. 1B). The patient wasput in a fasting state, hydrated intravenously, and givenanalgesics. Her clinical symptoms improved over the follow-ing 3 days and there was no need for surgery.

Radiodiagnosis Service, Hospital Universitario Puerta de Hier

n 80-year-old woman with a past history of high blood pres-ure, diabetes mellitus, and overweight was admitted forymptoms of respiratory infection accompanied by partialespiratory failure. Seventy-two hours after her admission,er initial clinical symptoms were stabilized and the patientomplained of nonspecific abdominal discomfort accompa-ied by nausea and general malaise. Physical examination

� Please cite this article as: González-García A, Escribano-Pérez, Diz Farina S. Apendicitis epiploica en una mujer de 80 anos, unaausa poco frecuente de abdomen agudo en el anciano. Revista deastroenterología de México. 2015;80:276---277∗ Corresponding author. Servicio de Medicina Interna, Hospital

niversitario Ramón y Cajal, Carretera Colmenar Viejo, km 9,400,8034 Madrid, Espana. Tel.: +34913368402; fax: +34913368400.

E-mail address: andres gonzalez garcia@hotmail.comA. González-García).

255-534X/© 2015 Asociación Mexicana de Gastroenterología. Publishedhe CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-n

adrid, Spain

evealed abdominal rigidity in the right lower quadrant; aomputed tomography scan was ordered and it identifiedpiploic appendagitis (fig. 1A), together with important tra-

by Masson Doyma México S.A. This is an open access article underd/4.0/).

Epiploic appendagitis in an 80-year-old woman, an uncommon ca

Figure 1 A) A 2 × 3 mm oval-shaped image is seen at thegreater omentum, near the left flank, surrounded by inflam-matory changes and a small quantity of free fluid, consistentwith epiploic appendagitis as a first possibility. B) A 3 × 3 mmimage, immediately adjacent to the previous image, consistentwith circumscript inflammatory changes in the epiploic fat ofthe left flank with a small quantity of free fluid.

E

Ptf

Dd

Rd

F

Ns

C

T

Acknowledgements

The authors wish to thank Dr. José Perales.

use of acute abdominal pain in the elderly 277

thical responsibilities

rotection of persons and animals. The authors declarehat no experiments were performed on humans or animalsor this study.

ata confidentiality. The authors declare that no patientata appear in this article.

ight to privacy and informed consent. The authorseclare that no patient data appear in this article.

inancial disclosure

o financial support was received in relation to thistudy/article.

onflict of interest

he authors declare that there is no conflict of interest.