Work

Epiploic appendagitis: A case report and review of diagnostic challenges

Year: 2024

Type: article

Abstract: Epiploic appendagitis is a rare, self-limiting inflammatory condition affecting the epiploic appendages, which often mimics other acute abdominal conditions such as appendicitis or diverticulitis, creating a diagnostic challenge for healthcare providers. In this case, a 37-year-old male presented with sharp, non-radiating right lower quadrant abdominal pain lasting two days, accompanied by nausea. Upon physical examination, localized tenderness was noted without signs of rebound or guarding. A contrast-enhanced CT scan revealed a 2.5 cm ovoid lesion with fatty stranding on the cecum wall, along with adjacent reactive lymph nodes, confirming the diagnosis of epiploic appendagitis. Given its rarity, this condition should be included in the differential diagnosis for acute abdominal pain, as accurate diagnosis through appropriate imaging can prevent unnecessary surgical interventions and ensure effective management.

Source: Journal of Medicine Surgery and Public Health

DOI: 10.1016/j.glmedi.2024.100148

Authors: Usamah Al-Anbagi, Abdulrahman Saad, Tarek Ibrahim, Abdulqadir J. Nashwan

Institutions: Hamad Medical Corporation, Ministry of Public Health

Language: English

Topic: Omental and Epiploic Conditions

Subfield: Rheumatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,850