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Epiploic appendages' inflammation: appendagitis. Report of two cases and literature overview

Aldo Di Blasi, Luigi Zulli, Antonio Viscomi, Augusto Tricerri
  • Aldo Di Blasi
    Department of Clinical Radiology, P.O. San Filippo Neri, ASL Roma1, Rome, Italy
  • Luigi Zulli
    Department of Emergency Medicine, P.O. San Filippo Neri, ASL Roma1, Rome, Italy
  • Antonio Viscomi
    Department of Clinical Radiology, P.O. San Filippo Neri, ASL Roma1, Rome, Italy

Abstract

Epiploic Appendagitis (EA) is an uncommon, benign, self-limiting inflammatory process of the epiploic appendices. Other, older terms for the process include appendicitis epiploica and appendagitis, but these terms are used less now in order to avoid confusion with acute appendicitis. Epiploic appendices are small, fat-filled sacs or finger-like projections along the surface of the lower colon and rectum. They may become acutely inflamed as a result of torsion (twisting) or venous thrombosis. The inflammation causes pain, often described as sharp or stabbing, located on the left, right, or central regions of the abdomen. There is sometimes nausea and vomiting. The symptoms may mimic those of acute appendicitis, diverticulitis, or cholecystitis. Initial lab studies are usually normal. EA is usually diagnosed incidentally on CT scan which is performed to exclude more serious conditions. Epiploic appendagitis usually does not require surgical intervention. It is self-limiting, the symptoms can be treated with analgesics and subsides in about a week.

Keywords

Appendigitis, acute abdominal pain, emergency department

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Submitted: 2017-05-01 23:20:18
Published: 2018-03-29 13:53:07
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