Akut Karini Taklit Eden Primer Epiploik Apandisit: İki Olgu Sonumu Primary Appendicitis Epiploicae Mimicking Acute Abdomen: Report Of Two Cases

Primer epiploik apandisit nadir gorulen bi durumdur. Burada akut batin bulgulariyla karsimiza cikan 2 adet olguyu sunmak istedik. Heriki hastaya da supheli akut batin bulgularindan dolayi bilgisayarli batin tomografisi cekildi. BT' de kolon segmentlerinin serozal yuzeyindeki apandiks epiploikalarda enfeksiyon saptandi. Hastalara konservatif yaklasimla, analjezik ve antibiyotik tedavisi baslandi. Semptomlarda 1 hafta icerisinde gerileme oldu. Preoperatif BT bulgulari ile konservatif tedavi verilebilir ve gereksiz cerrahinin onune gecilebilir. Bilgisayarli batin tomografisi ile erken radyolojik degerlendirme tanida anahtar role sahip olup heriki hastada da gereksiz cerrahiden kacinilmasina olanak saglamistir. Anahtarkelimeler: Epiploik apandisit, bilgisayarli batin tomografisi, konservatif tedavi Primary appendicitis epiploicae is a rare condition. Here, we present two cases, both with clinical signs of acute abdomen. Two patients with dubious findings of acute abdomen underwent abdominal CT. Both CT revealed appendicitis epiploicae on the serosal surface of colonic segments. Both patients received conservative treatment with pain medication, antibiotics and symptoms subsided within a week. Preoperative CT findings confirming the conservative medical management with CT findings can prevent unnecessary surgery. Early radiologic examination with an abdominal CT scan is key in making the diagnosis and potentially avoiding unnecessary surgery in such cases.