Abstract
Epiploic appendagitis is a self-limited condition secondary to torsion or thrombosis of the epiploic appendages, usually followed by inflammation. The clinical findings are non-specific, leading to frequent misdiagnosis situations. On the other hand, the Computed Tomography (CT) features of epiploic appendagitis are quite typical and well described. Therefore, physicians should consider the diagnostic role of CT in this underdiagnosed challenging disease.
Highlights
Epiploic appendagitis is an uncommon, benign, self-limited condition secondary to inflammation of the epiploic appendages (1)
The epiploic appendages are pedunculated fat-containing peritoneal pouches that protrude from the serosal surface of the colon (1-6)
The authors report a case in which Computed Tomography (CT) diagnosed epiploic appendagitis, avoiding the need for surgical intervention
Summary
Epiploic appendagitis is an uncommon, benign, self-limited condition secondary to inflammation of the epiploic appendages (1). As the clinical presentation is usually lower abdominal pain, many possible and more prevalent differential diagnoses often lead to a clinical misdiagnosis, with unnecessary intervention (2,6). The authors report a case in which Computed Tomography (CT) diagnosed epiploic appendagitis, avoiding the need for surgical intervention. A 24-year-old male patient was admitted to the Emergency Room with intense left lower-quadrant abdominal pain. The patient had no history of abdominal surgery or trauma in the past. He reported anorexia but denied nausea, vomiting, weight loss, intestinal habits or genitourinary alterations. Abdominal Computed Tomography (CT) showed an oval-shaped, hypodense fat-containing mass, with peripheral enhancement, at an anterior paracolic
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