Primary epiploic appendagitis: the role of computed tomography in diagnosis

Abstract

Primary epiploic appendagitis is a rare entity that occurs due to torsion and inflammation of the epiploic appendages. Clinically, this entity may be mistaken for acute abdomen with resultant unnecessary surgery. In contrast to acute surgical abdomen, epiploic appendagitis usually does not require surgical treatment; most of the patients resolve with conservative management. Diagnosis can be achieved with imaging modalities of which computed tomography is the gold standard procedure. Herein, a patient who presented with acute abdomen like clinical picture, with the computed tomography demonstration of primary epiploic appendagitis, is presented.

Torsion of Epiploic Appendagitis: Forgotten Cause of Acute Abdomen Four Cases Presentation and Literature Review

“…CT scan is the gold standard modality for the diagnosis of epiploic appendagitis [34]. Epiploic appendagitis appears on CT scan as ovoid mass surrounded by a hyperdense rim.…”

Primary epiploic appendagitis: A retrospective analysis of clinical and tomographic findings in 14 patients

“…Nowadays, the best diagnostic method for PEA is regarded as abdominal computed tomography. In general, computed tomography (CT) scans reveal an ovoid mass lesion with a fat-density appearance, encapsulated by a dense rim in all cases (4)(5)(6).…”