Epiploic appendagitis: an emerging diagnosis
DOI:
https://doi.org/10.32818/reccmi.a11n1a8Keywords:
epiploic appendagitis, abdominal pain, computed tomography, diverticulitisAbstract
Epiploic appendagitis is a rare inflammatory condition that results from torsion or venous thrombosis of the epiploic
appendages. Clinically, it presents with localized abdominal pain, often in one of the iliac fossae, and may be associated
with fever, vomiting, and abdominal distension. We report the clinical case of a male patient who presented
to the emergency department with fever and abdominal pain. Contrast-enhanced abdominal CT revealed findings
consistent with epiploic appendagitis. The patient was admitted and treated with antibiotic therapy with ceftriaxone
and metronidazole, showing good clinical and laboratory improvement.
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Singh AK, Gervais DA, Hahn PF, Sagar P, Mueller PR, Novelline RA. Acute epiploic appendagitis and its mimics. Radiographics. 2005; 25(6): 1521-1534. doi: https://doi.org/10.1148/rg.256055030 (último acceso abr. 2026). DOI: https://doi.org/10.1148/rg.256055030
Hirose Y, Shikino K. Epiploic appendagitis. Am J Med. 2021; 134(3): e195-1966. doi: https://doi.org/10.1016/j.amjmed.2020.08.017 (último acceso abr. 2026). DOI: https://doi.org/10.1016/j.amjmed.2020.08.017
Nugent JP, Ouellette HA, O'Leary DP, Khosa F, Nicolaou S, McLaughlin PD. Epiploic appendagitis: 7-year experience and relationship with visceral obesity. Abdom Radiol (NY). 2018; 43(7): 1552-1557. doi: https://doi.org/10.1007/s00261-017-1355-5 (último acceso abr. 2026). DOI: https://doi.org/10.1007/s00261-017-1355-5
Acevedo-Castillo CD, Macias-Cruz HM, Ramirez-Cisneros A, Bautista-Coronado UA, Moran-Guerrero JA, Guzman EA. Epiploic appendagitis: systematic review of a distinctive pathology. Am Surg. 2024; 90(11): 3074-3081. doi: https://doi.org/10.1177/00031348241256062 (último acceso abr. 2026). DOI: https://doi.org/10.1177/00031348241256062
El-Menyar A, Naqvi SGA, Al-Yahri O, Abusal AM, Al-Shaikhli A, Sajid S, et al. Diagnosis and treatment of epiploic appendagitis in a Middle Eastern country: an observational retrospective analysis of 156 cases. World J Surg. 2024; 48(6): 1363-1372. doi: https://doi.org/10.1002/wjs.12161 (último acceso abr. 2026). DOI: https://doi.org/10.1002/wjs.12161
Doğan AN, Çakıroğlu B, Akça AH, Aksoy SH, Akar T. Primary epiploic appendagitis: evaluation of computed tomography findings in the differential diagnosis of patients that presented with acute abdominal pain. Eur Rev Med Pharmacol Sci. 2022; 2 6(1): 59-63. doi: https://doi.org/10.26355/eurrev_202201_27748 (último acceso abr. 2026).
Hwang JA, Kim SM, Song HJ, Lee YM, Moon KM, Moon CG, et al. Differential diagnosis of left-sided abdominal pain: primary epiploic appendagitis vs colonic diverticulitis. World J Gastroenterol. 2013; 19(40): 6842-6848. doi: https://doi.org/10.3748/wjg.v19.i40.6842 (último acceso abr. 2026). DOI: https://doi.org/10.3748/wjg.v19.i40.6842
Gelrud A, Cárdenas A, Chopra S. Epiploic appendagitis. In Friedman LS (ed). UpToDate. Waltham, Mass. Accesible en: https://www.uptodate.cn/contents/epiploic-appendagitis/print (último acceso abr. 2026).
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Copyright (c) 2026 Manuel Pimentel Maia, Maria Leonor Vilela, Ricardo Velho, Inês Pereira, Fátima Silva
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