Epiploic appendagitis is a very rare condition that results from acute inflammation of an appendix epiploica. We report a case involving a 24-year-old woman who presented to the emergency department with abdominal pain localized to the left lower quadrant. The patient was diagnosed with epiploic appendagitis, which was confirmed through findings obtained from a contrast-study computed tomography of the abdomen. The patient was subsequently taken to the operating room for a diagnostic laparoscopy due to persistent pain. Necrotic epiploic appendagitis was found on the descending colon, which was removed laparoscopically.
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http://dx.doi.org/10.1016/j.ajem.2008.01.033 | DOI Listing |
Cureus
November 2024
Family Medicine, Edward Via College of Osteopathic Medicine, Blacksburg, USA.
Epiploic appendagitis (EA) is an uncommon and frequently misdiagnosed cause of acute abdominal pain, typically affecting middle-aged males. This case report presents an atypical occurrence in a 32-year-old Hispanic female who presented with left lower quadrant pain, initially suspected to be diverticulitis or infectious colitis. Contrast-enhanced CT imaging revealed the characteristic findings of EA, a diagnosis that is rarely seen in young adult females.
View Article and Find Full Text PDFAm J Case Rep
December 2024
Department of Obstetrics and Gynaecology, Raigmore Hospital, NHS Highland, Inverness, United Kingdom.
BACKGROUND Acute epiploic appendagitis is an uncommon cause of acute abdominal pain characterized by pain in the left or right lower quadrants of the abdomen. It is caused by torsion or spontaneous venous thrombosis of one of the epiploic appendages, which are found along the colon, most commonly in the sigmoid colon. The literature consistently compares the presenting symptoms and clinical picture of acute epiploic appendagitis to acute diverticulitis and acute appendicitis.
View Article and Find Full Text PDFEmerg Radiol
December 2024
Department of Surgery, Kiriyama Clinic, Nagoya, Aichi, Japan.
Epiploic appendagitis of the vermiform appendix is a rare cause of right lower abdominal pain that can mimic acute appendicitis and result in unnecessary surgery. Despite this, the condition can be managed with non-steroidal anti-inflammatory drugs alone. Due to the lack of characteristic physical or laboratory findings, accurate diagnosis by imaging is crucial.
View Article and Find Full Text PDFCureus
August 2024
Emergency Medicine and Neurology, University of Central Florida, Orlando, USA.
Epiploic appendagitis is a rare, often misdiagnosed condition that causes acute abdominal pain. The symptoms, such as localized pain that worsens with coughing and stretching, mimic other conditions like appendicitis and diverticulitis. Diagnosis can be made using computed tomography (CT) scans, which show characteristic signs, such as a 2-3 cm fat-density ring, colon wall thickening, and nearby fluid or inflammation.
View Article and Find Full Text PDFCureus
July 2024
Internal Medicine, Allied Hospital, Faisalabad, PAK.
An acute abdomen that is tender to palpation often represents a life-threatening emergency requiring immediate surgical or medical management. We present a case of acute abdomen with peritoneal signs and symptoms due to epiploic appendagitis (EA) that resolved with a single dose of ibuprofen. EA often mimics appendicitis, diverticulitis, and rarely cholecystitis based on its location.
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