Case report: pericolic abscess secondary to torsion of an appendix epiploica

Area of Science:

• Gastroenterology
• Radiology
• Surgical Pathology

Background:

• Torsion of the appendices epiploicae is an uncommon cause of acute abdominal pain.
• It can present similarly to acute appendicitis, leading to diagnostic challenges.
• Potential complications include peritonitis and intestinal obstruction if left untreated.

Observation:

• A case of torsion of an appendix epiploica is presented.
• The condition resulted in the formation of a pericolic abscess.
• This abscess demonstrated an unusual communication between the colon and the lesser sac.

Findings:

• The radiological findings associated with this specific complication were previously undescribed.
• The case illustrates a rare but significant consequence of appendix epiploica torsion.
• Accurate radiological interpretation is crucial for identifying such rare presentations.

Implications:

• This case expands the understanding of potential complications arising from appendix epiploica torsion.
• It emphasizes the importance of considering rare diagnoses in acute abdominal pain presentations.
• The findings may aid radiologists and clinicians in recognizing and managing similar complex cases in the future.