Epiploic Appendagitis Masquerading as Acute Appendicitis: A Report of Two Cases

Uddin, Aaliya F. and Menon, Gautam and Menon, Arathi and Saad Abdalla Al-Zawi, Abdalla and Menon, Jay (2020) Epiploic Appendagitis Masquerading as Acute Appendicitis: A Report of Two Cases. Cureus Journal of Medical Science, 12 (9). e10689. ISSN 2168-8184

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Official URL: https://doi.org/10.7759/cureus.10689


Epiploic appendagitis (EA) is a rare clinical entity caused by an inflammatory/ischemic process involving the serosal outpouchings of the colon. Its clinical presentation of acute, localised, lower abdominal pain often mimics more common conditions like diverticulitis or appendicitis. The diagnosis of EA is challenging due to the lack of pathognomic clinical features. The definitive diagnosis primarily relies on cross-sectional imaging modalities like abdominal ultrasound or computed tomography (CT). Being a benign and self-limiting condition, it can be managed conservatively with analgesic and anti-inflammatory drugs. We present two cases to highlight EA as an important differential diagnosis for cases of acute lower abdominal pain, crucial to prevent unnecessary antibiotic therapy and surgical interventions.

Item Type: Journal Article
Faculty: Faculty of Health, Education, Medicine & Social Care
Depositing User: Lisa Blanshard
Date Deposited: 29 Mar 2021 12:41
Last Modified: 09 Sep 2021 18:52
URI: https://arro.anglia.ac.uk/id/eprint/706456

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