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Primary epiploic appendagitis and successful outpatient management
Wolfgang J Schnedl1, Robert Krause, Sandra J Wallner-Liebmann
1Department of Internal Medicine, Medical University of Graz, Graz, Austria. w.schnedl@dr-schnedl.at
Summary
Primary epiploic appendagitis (PEA) is a rare condition causing abdominal pain. Imaging can diagnose PEA, allowing for successful non-surgical treatment and avoiding unnecessary surgery.
Area of Science:
- Gastroenterology
- Radiology
Background:
- Primary epiploic appendagitis (PEA) is an uncommon cause of acute or subacute abdominal pain.
- Diagnosis typically relies on imaging modalities like ultrasonography (US) or computed tomography (CT).
Observation:
- This report details two cases of PEA.
- One case was initially visualized with US and confirmed by contrast-enhanced CT.
- The second case was diagnosed using non-contrast CT.
Findings:
- Both patients experienced successful recovery with conservative, non-surgical management on an outpatient basis.
- Imaging findings were characteristic for PEA in both instances.
Implications:
- Increased awareness of PEA among medical professionals is crucial due to its mimicry of other intra-abdominal conditions.
- Accurate diagnosis via imaging facilitates conservative outpatient treatment, preventing unnecessary surgery and reducing healthcare costs.
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