Epiploic appendagitis: a commonly undiagnosed non-surgical acute abdominal emergency
Adel Ekladious1,2,3, Ritesh Bhandari1
1Department of General Medicine, Royal Hobart Hospital, Hobart, Tasmania, Australia.
Abstract:
Epiploic appendagitis is a rare cause of acute abdomen and is diagnostically challenging as it mimics common causes of acute abdomen. However, advancements in computerised tomography/Ultrasound imaging have improved the frequency and confidence of diagnosing epiploic appendagitis, preventing unnecessary surgeries. We present a case of an acute abdomen who had to undergo laparoscopy before being diagnosed with epiploic appendagitis, underscoring the difficulty in diagnosis.
Insights
Epiploic appendagitis, a rare cause of acute abdomen, is often difficult to diagnose. Improved imaging techniques aid diagnosis, but surgical exploration may still be needed, highlighting diagnostic challenges.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Diagnostic Imaging
Background:
- Epiploic appendagitis is an uncommon cause of acute abdominal pain.
- It frequently mimics more common abdominal pathologies, complicating diagnosis.
- Misdiagnosis can lead to unnecessary surgical interventions.
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