Cecal epiploic appendagitis mimicking appendicitis

Liveris, Anna; Borenstein, Steven H.

doi:10.1016/j.epsc.2018.07.002

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2020

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“…Torsion of epiploic appendages was first noted by Payr in 1902 [ 5 ]. It can result in ischemia and infarction of the appendage and can present as acute abdominal pain mimicking diverticulitis, appendicitis [ 6 , 7 ] or cholecystitis [ 8 ] depending on the location of the appendage. Primary EA presenting as a clinical entity due to de novo venous thrombosis of the draining venule was first described in 1956 by Lynn [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Epiploic Appendagitis Masquerading as Acute Appendicitis: A Report of Two Cases

Uddin

Menon

et al. 2020

Cureus

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Epiploic appendagitis (EA) is a rare clinical entity caused by an inflammatory/ischemic process involving the serosal outpouchings of the colon. Its clinical presentation of acute, localised, lower abdominal pain often mimics more common conditions like diverticulitis or appendicitis. The diagnosis of EA is challenging due to the lack of pathognomic clinical features. The definitive diagnosis primarily relies on cross-sectional imaging modalities like abdominal ultrasound or computed tomography (CT). Being a benign and self-limiting condition, it can be managed conservatively with analgesic and anti-inflammatory drugs. We present two cases to highlight EA as an important differential diagnosis for cases of acute lower abdominal pain, crucial to prevent unnecessary antibiotic therapy and surgical interventions.

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Section: Discussionmentioning

confidence: 99%