Pathology of fatty suspensions of the colon, according to the literary analysis, amounts to 0.3% of all acute diseases of the abdominal cavity. The rarity of this pathology and the absence of pathognomonic signs makes diagnosis difficult. In a retrospective study of a clinical series of cases on the basis of the 1st surgical department of a public institution "432 Order of the Red Star, the main military clinical medical center of the Armed Forces of the Republic of Belarus" in the period from 2012 to 2017, we analyzed the case histories of 34 patients with the disease fatty appendages. The majority of patients treated in the 1st surgical department of “432 orders of the Red Star is the main military clinical medical center of the Armed Forces of the Republic of Belarus” were male patients (91,17%). The treated patients were of working age (the average age of the patients was 42,4 years). Most of the patients complained of pain without clear topographic localization and various complaints of a general nature, which confirms the presence of nesphyphy of the manifestation of this pathology. When studying the indicators of the constitutional status of patients, it was found that 82,4% were overweight or obesity of varying degrees. All patients underwent diagonoscopic laparoscopy for the final diagnosis and surgical treatment. 61,7% of patients did not have any abnormalities in general clinical blood analysis. The absence of signs of intoxication syndrome can also give doctors a prerequisite for a false diagnostic search and lead to a differential error. Based on the foregoing, there is a need for a thorough differential diagnosis of this pathology, which is not always successful.

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