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Primary epiploic appendagitis: from A to Z
Iyad A Issa1, Mohamad-Tarek Berjaoui, Wajdi S Hamdan
1Department of Gastroenterology and teratology, Rafik Hariri University hospital, Beirut, Lebanon.
International Medical Case Reports Journal
|June 12, 2013
Summary
Epiploic appendagitis, an uncommon cause of abdominal pain, typically resolves with conservative treatment. This case highlights a large inflammatory mass in a young woman post-gastric bypass surgery, emphasizing diagnosis and management strategies.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- Epiploic appendagitis is a rare, often overlooked cause of acute abdominal pain.
- It involves inflammation of the epiploic appendages, small fatty pouches on the colon.
Purpose of the Study:
- To report a unique case of acute primary epiploic appendagitis in a young woman.
- To discuss the clinical presentation, risk factors, and management of this condition, particularly in the context of post-gastric bypass surgery.
Main Methods:
- Case report of a young woman with acute abdominal pain.
- Review of clinical presentation, diagnostic imaging (e.g., CT scan), and treatment outcomes.
- Discussion of potential associations with prior surgical history.
Main Results:
- The patient presented with acute abdominal pain due to an unusually large inflammatory mass of epiploic appendagitis.
- The condition occurred a few months after gastric bypass surgery.
- The patient responded well to conservative management and pain control.
Conclusions:
- Epiploic appendagitis, though rare, should be considered in the differential diagnosis of acute abdominal pain.
- Prompt diagnosis and conservative management are key to successful outcomes.
- Gastric bypass surgery may be a potential risk factor or associated condition to consider.
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