Epiploic appendagitis

About Epiploic appendagitis

Epiploic appendages are small protrusions from the large intestine. They are usually filled with fat and do not cause any symptoms. Occasionally theses appendages lose their blood supply because of a twisting (torsion) or a blood clot (thrombus). The appendage becomes swollen and this disorder is called epiploic appendagitis. The swelling causes the symptoms experienced. No treatment is needed since the disorder resolves on its own. Occasionally this disorder can be mistaken for appendicitis or diverticulitis.

Symptoms

Sharp lower abdominal pain. The pain is more common on the left than the right. Usually there are no other symptoms experienced.

Tests & Diagnostics

A history and physical exam will be done. A CT scan or MRI is typically needed to confirm the diagnosis. Blood tests are generally performed as well to rule out other causes of the abdominal pain.

Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, MRI.

Conventional treatment summary

No treatment is necessary since the disorder resolves on its own. Pain medications may be used for the discomfort.

Medical specialties

General Surgery · Internal Medicine · Family Practice

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Epiploic appendagitis.