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Updated: Jun 6, 2026
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
[Primary epiploic appendagitis: a case report]
Mehmet Noyan Zenger1, Seda Zenger, Mustafa Pekuysal
1Department of Radiology, Military Hospital, Elazığ, Turkey. noyanzenger@yahoo.com
Summary
Primary epiploic appendagitis, a rare colon inflammation, can mimic surgical emergencies. Computed tomography (CT) scans are crucial for diagnosing this self-limiting condition, guiding non-surgical antibiotic treatment.
Area of Science:
- Gastroenterology
- Radiology
- Abdominal Imaging
Background:
- Primary epiploic appendagitis is an uncommon, self-limiting inflammation of the colonic epiploic appendages.
- It can present with symptoms mimicking acute abdominal conditions requiring surgical intervention.
Observation:
- A 21-year-old male presented with left lumbar pain, fever, and localized tenderness.
- Physical examination and laboratory tests revealed leukocytosis.
Findings:
- Computed tomography (CT) demonstrated a fat-density mass with a hyperdense rim adjacent to the descending colon.
- Radiological findings were consistent with primary epiploic appendagitis.
Implications:
- CT imaging is vital for accurate diagnosis of epiploic appendagitis, avoiding unnecessary surgery.
- Non-operative management with antibiotics can lead to successful clinical resolution.
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