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Bacteremia Secondary to Epiploic Appendagitis (EA).

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  • 1Plastic Surgery and General Surgery, New York Institute of Technology College of Osteopathic Medicine, New York, USA.

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Epiploic appendagitis (EA), typically self-resolving, rarely presents with sepsis. This case highlights a rare instance of E. coli sepsis secondary to EA of the sigmoid colon.

Keywords:
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Area of Science:

  • Gastroenterology
  • Infectious Diseases

Background:

  • Epiploic appendages are small, fat-filled sacs on the large intestine.
  • Epiploic appendagitis (EA) typically results from appendage torsion or thrombosis, causing ischemic infarction.
  • EA is usually a benign and self-limiting condition causing abdominal pain.

Observation:

  • A patient presented with sudden diffuse abdominal pain, nausea, and fever.
  • CT imaging confirmed EA of the sigmoid colon.
  • The patient subsequently developed sepsis with E. coli bacteremia.

Findings:

  • This case details a rare presentation of E. coli sepsis in a patient with epiploic appendagitis.
  • The usual uncomplicated course of EA was complicated by a severe systemic infection.

Implications:

  • Highlights the importance of considering infectious complications even in typically benign conditions like EA.
  • Suggests that patients with EA, especially if severe or persistent, may require thorough investigation for underlying infection.
  • Underscores the potential for rare but serious complications from localized gastrointestinal pathology.