Epiploic Appendagitis: Case series report of a Common but an often-missed Diagnosis
Case Series on Epiploic Appendagitis
DOI:
https://doi.org/10.60787/tnhj.v24i3.861Keywords:
Epiploic appendagits, Diagnosis, Radiology, Conservative managementAbstract
Background: Epiploic appendagitis to the unsuspecting and unexperienced physician might prove a diagnostic conundrum resulting in unwarranted surgical intervention.
Method: This is a case series report of two patients presenting with non-specific abdominal pain that mimicked acute abdomen. Clinical examination findings were equivocal but the radio-diagnostic work-up revealed the presence of epiploic appendagitis. Laboratory parameters were also with normal ranges. These patients responded well to conservative management.
Conclusion: The diagnosis of epiploic appendagitis need to be considered as a differential of acute abdominal pain whenever possible. The principal factor to this diagnostic success is the availability of the computerized tomogram otherwise; such patients wound have been considered for surgical intervention especially in resource-limited centres.
Downloads
References
Gandía Rodríguez, Ángel Miguel, Vicente Moreira, Víctor, Rivera Gallego, Ignacio, Fernández Rivero, et al. Gastroenterología y Hepatología. 2008: 31(2):98–103.
Suresh Kumar VC, Mani KK, Alwakkaa H, Shina J. Epiploic Appendagitis: An Often-Misdiagnosed Cause of Acute Abdomen. Case Rep Gastroenterol. 2019:13(3):364-368. doi: 10.1159/000502683.
Ngai C, Viswanathan S, Lansom J. Case report: Caecal epiploic appendagitis mimicking acute appendicitis. Int J Surg Case Rep. 2023; 106:108091. doi: 10.1016/j.ijscr.2023.108091.
Khafaji RA, Ghandourah HS, Altamimi SK, Alwarthan AA, Alhabib RA, Alaiyar MN, et al. Epiploic Appendagitis Clinically Masquerading as an Acute Diverticulitis. Cureus. 2021:5;13(12):e20188. doi: 10.7759/cureus.20188. Retraction in: Cureus. 2024;16(1):r109.
Lynn TE, Dockerty MB. Waugh Jm: A clinic o-pathologic study of the epiploic appendages. Surg Gynecol Obst. 1956; 103:423-33.
Ross JA. Vascular loops in the appendices epiploicæ. Their anatomy and surgical significance, with a review of the surgical pathology of appendices epiploicæ. Journal of British Surgery. 1950;37(148):464-6.
Acute epiploic appendagitis: a nonsurgical abdominal pain. Di Serafino M, Iacobellis F, Trovato P, Stavolo C, Brillantino A, Pinto A, Romano L. Case Rep Emerg Med. 2019;2019:7160247
Akubudike JE, Egigba OF, Kobalava B. Epiploic Appendagitis: A Commonly Overlooked Differential of Acute Abdominal Pain. Cureus. 2021;13(1):e12807. doi: 10.7759/cureus.12807.
Choi YU, Choi PW, Park YH, Kim JI, Heo TG, Park JH, Lee MS, Kim CN, Chang SH, Seo JW. Clinical characteristics of primary epiploic appendagitis. J Korean Soc Coloproctol. 2011;27(3):114-21. doi: 10.3393/jksc.2011.27.3.114.
Legome EL, Belton AL, Murray RE, Rao PM, Novelline RA. Epiploic appendagitis: the emergency department presentation. J Emerg Med. 2002; 22:9–13.
Thomas JH, Rosato FE, Patterson LT. Epiploic appendagitis. Surg Gynecol Obstet. 1974; 138:23–25.
Sand M, Gelos M, Bechara FG, Sand D, Wiese TH, Steinstraesser L, et al. Epiploic appendagitis: clinical characteristics of an uncommon surgical diagnosis. BMC Surg. 2007; 7:11
Hiller N, Berelowitz D, Hadas-Halpern I. Primary epiploic appendagitis: clinical and radiological manifestations. Isr Med Assoc J. 2000; 2:896–898.
Rioux M & Langis P. Primary Epiploic Appendagitis: Clinical, US, and CT Findings in 14 Cases. Radiology. 1994;191(2):523-6. doi:10.1148/radiology.191.2.8153333.
Almeida A, Melão L, Viamonte B, Cunha R, Pereira J. Epiploic Appendagitis: An Entity Frequently Unknown to Clinicians--Diagnostic Imaging, Pitfalls, and Look-Alikes. AJR Am J Roentgenol. 2009;193(5):1243-51. doi:10.2214/AJR.08.2071.
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Adejumo AA, Osobu BE
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.