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Exploring Epiploic Appendagitis: A Review.

Katherine F Guijarro Falcon¹, Beebee Mubarak Jan¹, Hadeel Fathi Eltigani Suliman¹

¹General Surgery, Princess Royal University Hospital, King's College Hospital London, Orpington, GBR.

|December 18, 2025

Summary

This summary is machine-generated.

Epiploic appendagitis, a rare cause of abdominal pain, is often misdiagnosed due to its nonspecific symptoms. Radiological imaging is key for accurate diagnosis, and the condition typically resolves with conservative treatment.

Keywords:

acute abdomen appendagitis epiploica primary epiploic appendagitis (pea)treatment of appendagitis unexplained abdominal pain

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Area of Science:

Gastroenterology
Radiology

Background:

Epiploic appendagitis is an uncommon, self-limiting condition causing acute abdominal pain.
Its rarity and nonspecific presentation lead to diagnostic challenges and potential misdiagnosis.

Purpose of the Study:

To highlight the diagnostic challenges of epiploic appendagitis.
To emphasize the role of radiological investigations in accurate diagnosis.
To underscore its typically self-limiting nature and conservative management.

Main Methods:

Review of clinical presentations of epiploic appendagitis.
Analysis of diagnostic accuracy using radiological investigations.
Evaluation of treatment outcomes with conservative management.

Main Results:

Epiploic appendagitis presents with varied and nonspecific symptoms, complicating clinical diagnosis.
Radiological imaging provides accurate diagnosis of the condition.
The condition is generally self-limiting and responds well to conservative measures.

Conclusions:

Accurate diagnosis of epiploic appendagitis relies on radiological findings.
Conservative management is effective for this self-limiting condition.
Increased awareness can improve diagnostic accuracy and patient outcomes.