Primary Appendicitis Epiploicae Mimicking Acute Abdomen

Abstract

Inflammation of the appendix epiploica is called epiploic appendicitis, which can rarely cause acute abdomen. In this report, we present a case of appendagitis epiploica that required surgery for the clinical picture of acute abdomen and high fever. A 49-year-old male patient presented to the Kafkas University Faculty of Medicine Hospital's emergency department with right lower and upper quadrant pain, nausea, vomiting, and lack of appetite for the last day. The blood tests revealed increased CRP. The abdominal computed tomography findings were consistent with appendagitis epiploica of the ascending colon. The patient was prepared for surgery when acute abdomen findings and high fever were detected during follow-up. Findings consistent with appendagitis epiploica were observed in the ascending colon. The appendix epiploica was excised, and an appendectomy was performed. There was no postoperative complication. Conservative treatment should be the first option when appendagitis epiploica is detected. However, surgical treatment is required for patients with acute abdomen.