Abstract
Acute Epiploic Appendagitis: Report of Six Cases and Review of Literature
Highlights
Appendagitis is an uncommon cause of abdominal pain in previously healthy individuals especially in obese patients and patients that have lost weight
It is mainly an isolated pain and not associated with fever except for the first few days. He weights 95 kgs in his previous medical history, he has only untreated mild hypertriglyceridemia. He has had an abdominal CT scan with IV contrast that showed a normal urinary tract and a non specific extra-intestinal epiploic inflammatory collection just near the sigmoid colon associated with a few centimetric lymph nodes and mild peritoneal effusion; the aspect was typical of an acute appendagitis; the patient was discharged home on a symptomatic treatment composed by non steroidal anti-inflammatory drug (NSAID) and omeprazole for ten days; at the follow up visit, he was completely asymptomatic and the control abdominal CT scan done three weeks after the diagnosis showed that the collection has totally disappeared
Appendagitis known as epiploic appendicitis is a self limiting disease, with benign features that responds to medical treatment in most cases [1]
Summary
Appendagitis is an uncommon cause of abdominal pain in previously healthy individuals especially in obese patients and patients that have lost weight. 16-years-old male with no significant past medical history presented for sudden onset left flank pain radiating to the left inguinal area He had no urinary symptoms and no other associated complaints. She had numerous red cells and white cells in her urine analysis so a CT scan was done to rule out pyelonephritis and it showed sigmoid appendagitis only He was discharged home on medical treatment, and she was symptoms free few days later (Figure 3). 50-year-old obese male without significant past medical history presented for right lower quadrant abdominal pain of acute onset. He got admitted due to high suspicion of appendicitis despite normal inflammatory biologic markers. Matory medications and her symptoms improved few days later after being admitted to the hospital (Figure 4)
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