Epiploic appendagitis with acute pyelonephritis: a case report

Authors

  • Aditya Dhanawat Department of Internal Medicine, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India http://orcid.org/0000-0003-1910-5841
  • Ashim Kumar Mahali Department of Nephrology, Apollo Gleneagles Hospital, Kolkata, West Bengal, India
  • Lalatendu Mohanty Department of Internal Medicine, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India http://orcid.org/0000-0001-5630-2735
  • Ambika Prasad Mohanty Department of Internal Medicine, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20192273

Keywords:

Acute pyelonephritis, Appendices epiploicae, Appendage, Epiploic appendagitis, Left iliac fossa, Pain abdomen

Abstract

Coexistence of acute epiploic appendagitis with acute pyelonephritis is a rare occurrence. Present study report here a case of a 36-year-old male with a past history of appendectomy presenting with complaints of pain abdomen, nausea, increased frequency of micturition and dysuria. On examination, there was tenderness and guarding in the left iliac fossa. CECT abdomen revealed resolving acute epiploic appendagitis with acute pyelonephritis. He was managed conservatively with antibiotics and anti-inflammatory agents to which he responded. Thus, epiploic appendagitis is a benign self-limiting condition which when diagnosed early prevents unnecessary surgical interventions.

References

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Published

2019-05-24

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Section

Case Reports