A Case of Omental Panniculitis Associated with Appendectomy

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  • 虫垂炎術直後に発症した大網脂肪織炎の1例
  • 症例 虫垂炎術直後に発症した大網脂肪織炎の1例
  • ショウレイ チュウスイエンジュツ チョクゴ ニ ハッショウ シタ ダイモウ シボウショクエン ノ 1レイ

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Abstract

A case of omental panniculitis associated with appendectomy is described. A 54-year-old woman was admitted to hospital for abdominal pain and diagnosed with acute appendicitis when she was travelling abroad. Appendectomy was performed. After she returned home, she developed symptoms of generalized peritonitis. Abdominal CT showed inflammation of the greater omentum, pericardial and pleural effusions, and ascites. Because she was diagnosed with omental panniculitis, laparotomy was performed. Histopathological findings showed infiltration of neutrophils throughout the entire greater omentum. After operation, steroid and antibiotics were administered intravenously, and she was discharged on the 14th day after the second operation. A case of omental panniculitis occurring immediately after appendectomy is rare.

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