Abstract
We report a case of ileus caused by an appendix epiploica of the transverse colon. A 39-year-old man presented to our hospital with diarrhea, vomiting, and abdominal pain. He was initially diagnosed with infectious gastroenteritis and, ileus. Following insertion of a long tube, abdominal symptoms improved, although small bowel obstruction persisted. Therefore, the patient underwent laparoscopic surgery under general anesthesia. This examination indicated the presence of an appendix epiploica of the transeverse colon that adhered to the mesentery of the small bowel, which appeared reddish and erosive. The adhesion of the appendix epiploica was resected by using laparoscopic coaguration shears. As the strangulated small bowel did not exhibit an ischemic change, bowel resection was not required. The appendix epiploica was then resected from the body and removed. The patient was discharged 10 days after surgery without any complications.
