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Epiploic Appendagitis Masquerading as Acute Appendicitis: A Report of Two Cases
Aaliya F Uddin1, Gautam Menon2, Arathi Menon3
1General Surgery, Basildon and Thurrock University Hospital, Basildon, GBR.
Cureus
|November 2, 2020
Summary
Epiploic appendagitis (EA) is a rare cause of acute abdominal pain, often mimicking other conditions. Prompt diagnosis via imaging can prevent unnecessary treatments for this self-limiting condition.
Area of Science:
- Gastroenterology
- Radiology
Background:
- Epiploic appendagitis (EA) is an uncommon condition resulting from inflammation or ischemia of the colonic serosal outpouchings.
- Its presentation of localized lower abdominal pain can be mistaken for more prevalent conditions such as diverticulitis or appendicitis.
Observation:
- The diagnosis of EA is frequently challenging due to the absence of specific clinical indicators.
- Cross-sectional imaging, including abdominal ultrasound and computed tomography (CT), is essential for accurate diagnosis.
Findings:
- This condition is benign and typically resolves without specific intervention.
- Conservative management with analgesics and anti-inflammatory medications is effective.
Implications:
- Recognizing EA as a differential diagnosis for acute lower abdominal pain is critical.
- Accurate diagnosis can avert inappropriate antibiotic use and surgical procedures.
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