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Case Studies | Surgery | India | Volume 12 Issue 3, March 2023 | Rating: 4.3 / 10

Primary Epiploic Appendagitis - A Rare Cause of Acute Abdomen

Dr. Vidit Jethwa ^[6] | Dr. Jignesh P. Dave ^[10] | Dr. Hetvi Marsonia ^[5]

Abstract: Epiploic appendagitis is a rare cause of acute abdominal pain, determined by a benign self - limiting inflammation of the epiploic appendages. It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute diverticulitis or appendicitis causing a diagnostic dilemma for the surgeon. CT represents the gold standard technique for the evaluation of patients with indeterminate acute abdominal pain. Early identification of this condition with the help of the CT scan has lead to the avoidance of exploratory laparotomy. Rarely, epiploic appendagitis may be located within a hernia sac or attached to the vermiform appendix (2). Chronically infarcted epiploic appendage may detach, appearing as an intraperitoneal loose calcified body in the abdominal cavity. Here we present two such cases of primary acute appendagitis which we came across in our institute. Both the cases were managed conservatively.

Keywords: Epiploic appendagitis,, acute diverticulitis, vermiform appendix, diagnostic dilemma

Edition: Volume 12 Issue 3, March 2023,

Pages: 544 - 547