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Case Report

Transverse Colon Appendagitis Clinically Mimicking Acute Appendicitis

Dawar Burhan Khan, Mustafa Belal Hafeez Chaudhry, Nida Sajjad, Sarim Dawar Khan.

A 21 year old single female presented with complain of right iliac fossa and lower abdominal pain with associated low grade fever for the last two days. Laboratory workup from emergency department revealed mild leukocytosis and microscopic hematuria. Ultrasound (US) of pelvis and liver/gall bladder ruled out ovarian pathology, free fluid in pelvis or acute cholecystitis. Appendix wasn’t visualized on US examination. Subsequent, focused abdominal computed tomography (CT FACT) revealed acute epiploic appendagitis along transverse colon (TC - AEA).

Key words: acute epiploic appendagitis; computed tomography; acute appendicitis; ultrasonography;

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