A rare case of epiploic appendagitis of the vermiform appendix

Epiploic appendagitis is a rare and often overlooked cause of acute abdominal pain that can mimic more common surgical conditions such as acute appendicitis or diverticulitis. Most reported cases involve the sigmoid or descending colon, whereas epiploic appendagitis occurring near the vermiform appendix is extremely rare. We report the case of a 57-year-old woman who presented with acute right lower quadrant pain initially suspected to be acute appendicitis. Computed tomography revealed inflammation of the epiploic appendage adjacent to the base of the appendix, with mild reactive appendicitis. The patient underwent surgery successfully, which confirmed torsion and necrosis of the appendiceal epiploic appendage. Early and accurate diagnosis of this condition is crucial to guide appropriate management.