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[Epiploic appendagitis: a rare cause of abdominal pain]

Andrés García-Marín1, Carmen Nofuentes-Riera2, Mario Mella-Laborde2

  • 1Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario San Juan de Alicante, Alicante, Spain. agmarin1980@gmail.com.

Cirugia Y Cirujanos
|August 29, 2014
PubMed
Abstract

Insights

Epiploic appendagitis, a cause of abdominal pain, is more common in women and often presents with left lower quadrant pain. Diagnosis is typically made preoperatively using imaging, avoiding unnecessary surgery.

Area of Science:

  • Gastroenterology
  • Abdominal Imaging
  • Surgical Pathology

Background:

  • Epiploic appendagitis is an uncommon cause of acute abdominal pain.
  • Increased awareness can prevent diagnostic and treatment errors.
  • Current diagnostic methods include ultrasound and tomography, with nonsteroidal anti-inflammatory drugs as the primary treatment.

Purpose of the Study:

  • To analyze patient demographics, clinical presentation, and diagnostic methods for epiploic appendagitis.
  • To evaluate the effectiveness of imaging in diagnosing epiploic appendagitis.
  • To assess treatment outcomes for epiploic appendagitis.

Main Methods:

  • A 4-year retrospective descriptive study was conducted.
  • Patients diagnosed with epiploic appendagitis between March 2009 and March 2013 were included.
  • Data collected included patient demographics, symptom presentation, laboratory results, and diagnostic imaging findings.

Main Results:

  • Seventeen patients (14 female, 3 male; median age 57) were analyzed.
  • Abdominal pain was predominantly in the left lower quadrant (64.7%).
  • Imaging confirmed diagnosis in 88.2% of cases, with normal blood tests except for elevated C-reactive protein.

Conclusions:

  • Epiploic appendagitis is more prevalent in women.
  • Left lower quadrant pain is a common presentation.
  • Preoperative diagnosis via imaging is effective in guiding management and avoiding unnecessary surgery.
Keywords:
abdomen agudoacute abdomenappendagitisappendix epiploicaapéndice epiploicotorsion

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