Open AccessA Case Series on Epiploic Appendagitis: An Underdog in Acute Abdomen
Author(s) -
Tharun Ganapathy Chitrambalam,
Pradeep Christopher,
Sudha Kanthasamy,
Jeyakumar Sundaraj
Publication year - 2021
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2021/47058:15046
Subject(s) - medicine , diverticulitis , appendicitis , radiology , abdominal pain , abdomen , laparoscopy , presentation (obstetrics) , medical diagnosis , sigmoid colon , acute abdomen , surgery , general surgery , rectum
Epiploic appendagitis is an uncommon yet a significant surgical diagnosis that every surgeon should be aware. It occurs due to the torsion of the epiploic appendage which gives rise to acute abdominal pain that can mimic other common causes of acute abdominal pain like appendicitis or cholecystitis. The treatment of epiploic appendagitis depend on clinical presentation, severity and it varies from conservative management to surgical excision. This case series is about eight patients presented with complaints of lower abdominal pain. After clinical examination they were initially diagnosed to have appendicitis or diverticulitis. The Computed Tomography (CT) -based diagnoses were appendicitis, omental infarct, diverticulitis or epiploic appendagitis. All of them were subjected to diagnostic laparoscopy and found to have an inflammed epiploic appendage which was excised laparoscopically.