{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:35:45Z","timestamp":1761561345770},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2009,4,27]],"date-time":"2009-04-27T00:00:00Z","timestamp":1240790400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>Infarctions of the greater omentum and appendices epiploicae are uncommon, but well documented causes of acute abdominal pain. We present a rare case of torted fat on the parietal peritoneum over the anterior abdominal wall, mimicking clinical signs of acute appendicitis, which was diagnosed at laparoscopy. We are aware of only two other similar reported cases, both of which were diagnosed at the time of laparotomy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>A 41-year-old Caucasian woman presented with clinical signs of acute appendicitis. On diagnostic laparoscopy, a non-inflamed appendix was found. Further exploration revealed a necrotic torted appendage of fat overlying the parietal peritoneum of the right iliac fossa of the anterior abdominal wall.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Torted fatty appendages can be a diagnostic dilemma often mimicking more common causes of an acute abdomen. Laparoscopy is an excellent tool making the correct diagnosis in such cases.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1752-1947-3-6980","type":"journal-article","created":{"date-parts":[[2009,6,5]],"date-time":"2009-06-05T14:52:42Z","timestamp":1244213562000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Torsion of parietal-peritoneal fat mimicking acute appendicitis: a case report"],"prefix":"10.1186","volume":"3","author":[{"given":"Kamal Sanjiva","family":"Hapuarachchi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward Douglas","family":"Courtney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szabolcs","family":"Gergely","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tjun Yip","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2009,4,27]]},"reference":[{"key":"611_CR1","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1002\/bjs.18003714807","volume":"37","author":"JA Ross","year":"1950","unstructured":"Ross JA: Vascular loops in the appendices epiploicae; their anatomy and surgical significance, with a review of the surgical pathology of appendices epiploicae. Br J Surg. 1950, 37: 464-466. 10.1002\/bjs.18003714807.","journal-title":"Br J Surg"},{"key":"611_CR2","first-page":"50","volume":"145","author":"SI Polukhin","year":"1990","unstructured":"Polukhin SI, Letemin GG, Povorozniuk VS: Torsion of epiploic appendages of the parietal peritoneum. Vestn Khir Im II Grek. 1990, 145: 50.","journal-title":"Vestn Khir Im II Grek"},{"key":"611_CR3","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1093\/milmed\/153.11.572","volume":"153","author":"RR Perry","year":"1988","unstructured":"Perry RR, Hawksley CA: Torsion of an isolated intra-abdominal fat appendage: rare cause of abdominal pain. Mil Med. 1988, 153: 572-573.","journal-title":"Mil Med"},{"key":"611_CR4","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1097\/00000658-191710000-00014","volume":"66","author":"AH Harrigan","year":"1917","unstructured":"Harrigan AH: Torsion and inflammation of the appendices epiploicae. Ann Surg. 1917, 66: 467-478. 10.1097\/00000658-191710000-00014.","journal-title":"Ann Surg"},{"key":"611_CR5","doi-asserted-by":"publisher","first-page":"737","DOI":"10.1007\/s004649900439","volume":"11","author":"D Aronsky","year":"1997","unstructured":"Aronsky D, Z'graggen K, Banz M, Klaiber C: Abdominal fat tissue necrosis as a cause of acute abdominal pain. Laparoscopic diagnosis and therapy. Surg Endosc. 1997, 11: 737-740. 10.1007\/s004649900439.","journal-title":"Surg Endosc"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1752-1947-3-6980.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1752-1947-3-6980\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1752-1947-3-6980","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1752-1947-3-6980.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:14:07Z","timestamp":1630455247000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/1752-1947-3-6980"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,4,27]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["611"],"URL":"https:\/\/doi.org\/10.1186\/1752-1947-3-6980","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,4,27]]},"assertion":[{"value":"20 November 2008","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 January 2009","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 April 2009","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"6980"}}