Primary inflammation of an epiploic appendix of the ascending colon. Is atypical presentation a reason for emergency laparotomy?

Right lower quadrant pain is a very common symptom in everyday clinical practice, and of variable etiology. In patients arriving in the emergency room with sudden-onset right lower quadrant pain, the commonest cause is acute appendicitis. Primary epiploic appendagitis, a rare entity, with a clinical presentation similar to other causes of acute abdomen, and one that subsides spontaneously, can constitute a problem in differential diagnosis, because it is a condition best treated conservatively.