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Perigastric Appendagitis, A Rare Cause of Abdominal Pain: A Case Report

Julia Shamis1, Andrew Nyce1

  • 1Department of Emergency Medicine, Cooper Medical School of Rowan University, Camden, New Jersey.

The Journal of Emergency Medicine
|June 18, 2025
PubMed
Abstract

Insights

Perigastric appendagitis, a rare condition involving twisted ligaments, can mimic abdominal emergencies. Recognizing this self-limited diagnosis avoids unnecessary interventions for emergency physicians.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Perigastric appendagitis is a rare condition.
  • It mimics acute surgical abdomen presentations.
  • Caused by appendage torsion, leading to fat necrosis.

Purpose of the Study:

  • To highlight a case of perigastric appendagitis.
  • To emphasize its potential to mimic biliary pathology.
  • To inform emergency physicians about this rare diagnosis.

Main Methods:

  • Case report presentation.
  • Diagnosis confirmed via computed tomography (CT) imaging.
  • Discussion of clinical presentation and imaging findings.

Main Results:

  • The case presented as acute biliary pathology on CT.
  • Perigastric appendagitis was the confirmed diagnosis.
  • The condition was self-limited with no major complications.

Conclusions:

  • Awareness of perigastric appendagitis is crucial for emergency physicians.
  • Recognition can prevent unnecessary diagnostic workups.
  • It can avoid invasive and potentially superfluous surgical procedures.
Keywords:
abdominal paincase reportcomputed tomography imaginggastrointestinalinflammationperigastric appendagitisvascular

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