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Recurrent abdominal pain and fever as clinical manifestations: epiploic appendagitis

Lin Li1, Zhe Shen1, Lei Xu2

  • 1Department of Gastroenterology, The First Affiliated Hospital, College of Medicine, Zhejiang University Hangzhou 310003, Zhejiang Province, China.

International Journal of Clinical and Experimental Medicine
|January 1, 2015
PubMed

Insights

Primary epiploic appendagitis (PEA) is a rare condition often misdiagnosed. This case study highlights PEA mimicking appendicitis, emphasizing the importance of accurate diagnosis in recurrent abdominal pain cases.

Area of Science:

  • Gastroenterology
  • Abdominal Imaging

Background:

  • Epiploic appendagitis is a rare, benign gastrointestinal condition.
  • Primary Epiploic Appendagitis (PEA) can be mistaken for appendicitis or diverticulitis due to similar symptoms.
  • PEA typically lacks fever and leukocytosis, complicating clinical diagnosis.

Observation:

  • A case of a patient with four months of recurrent abdominal pain and recent fever up to 39°C with chills is presented.
  • The patient experienced persistent dull abdominal pain.
  • Clinical analysis and computed tomography (CT) were utilized for diagnosis.

Findings:

  • The study focuses on a patient diagnosed with Primary Epiploic Appendagitis (PEA).
  • CT imaging is crucial for understanding and diagnosing PEA.
  • PEA can present with symptoms mimicking other acute abdominal conditions.

Implications:

  • Accurate diagnosis of PEA is essential to avoid unnecessary interventions.
  • Understanding PEA's presentation aids in differentiating it from more common surgical emergencies.
  • This case underscores the diagnostic challenges and utility of CT in identifying PEA.
Keywords:
Epiploic appendagitisclinical manifestationscomputed tomography

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