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Epiploic appendagitis.

Jamish Gandhi¹, Natasha Gandhi

¹Hutt Hospital, General Surgery and Gynaecology, High Street, Lower Hutt, 5011, New Zealand.

BMJ Case Reports

|August 26, 2011

Summary

This summary is machine-generated.

A young woman experienced severe abdominal pain, initially a diagnostic puzzle. Computed tomography (CT) revealed epiploic appendagitis, a condition successfully treated with conservative management.

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Area of Science:

Abdominal Imaging
Gastroenterology
Surgical Pathology

Background:

Left iliac fossa (LIF) pain can present diagnostic challenges in the emergency department (ED).
Epiploic appendagitis is a rare but benign cause of acute abdominal pain.
Differentiating epiploic appendagitis from other causes of abdominal pain is crucial for appropriate management.

Purpose of the Study:

To present a case of epiploic appendagitis that mimicked other acute abdominal conditions.
To highlight the utility of computed tomography (CT) in diagnosing epiploic appendagitis.
To illustrate the successful conservative management of epiploic appendagitis.

Main Methods:

A 25-year-old female presented with acute onset of crampy LIF abdominal pain, nausea, and vomiting.
Initial investigations included urine dipstick, pregnancy test, and ultrasound scan (USS), which were unremarkable for acute gynecological pathology.
Computed tomography (CT) of the abdomen was performed, revealing findings consistent with epiploic appendagitis.

Main Results:

The patient presented with localized tenderness and guarding in the LIF.
Ultrasound scan (USS) did not identify any acute gynecological issues.
CT scan confirmed the diagnosis of epiploic appendagitis.

Conclusions:

Epiploic appendagitis can present as a diagnostic dilemma in the ED, mimicking other acute abdominal pathologies.
CT is an effective imaging modality for diagnosing epiploic appendagitis.
Conservative management, including analgesia and antibiotics, is often successful for epiploic appendagitis, leading to symptom resolution and discharge.