Epiploic Appendigitis – Presenting as Acute Abdomen: Diagnostic Pitfalls and Clinical Insights

Abstract

Introduction: Epiploic appendigitis is a rare, benign, self-limiting inflammatory process of the epiploic appendices. The epiploic appendices are small pouches of the peritoneum filled with fat and situated along the colon, mainly the transverse and sigmoid parts, but are absent in the rectum and have an unknown function. These appendages can become acutely inflamed as a result of torsion or venous thrombosis. Case Report: A young patient came to emergency department of our hospital with complain of pain in abdomen at left lumber region since five days. On Physical examination revealed lump at left lumber region at the site of pain. Further investigated by radiological. Discussion: Epiploic appendigitis is an uncommon condition first described by Lynn et al in 1956 and is one of the rare causes of acute abdomen secondary to the inflammation and necrosis of small finger like projections along the colon. These appendages refer to adipose structures that rise in the surface of the colon and project into the abdominal cavity. Conclusion: Given the rarity of this condition, its elusive nature and tendency to mimic acute appendicitis, diverticulitis or cholecystitis, which all may require surgical intervention, it is increasingly apparent that we should educate medical professionals on this important differential diagnosis, as early and accurate diagnosis can prevent unnecessary invasive treatments and misdiagnosis.