+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A case of primary epiploic appendagitis of the sigmoid colon diagnosed by abdominal CT and managed conservatively



A case of primary epiploic appendagitis of the sigmoid colon diagnosed by abdominal CT and managed conservatively



Nihon Shokakibyo Gakkai Zasshi 109(5): 781-787



A 40-year-old man presented to our department with left lower abdominal pain. Laboratory test showed slight leukocytosis and moderately elevated C-reactive protein (CRP). Computed tomography (CT) of the abdomen showed a typical fat density lesion adjacent to the sigmoid colon. The diagnosis of primary epiploic appendagitis of the sigmoid colon was established, and the patient was managed conservatively. Primary epiploic appendagitis is a self-limiting illness, and diagnosed by characteristic radiographic findings. Inaccurate diagnosis can lead to unnecessary treatments including surgical intervention. When we encounter a case of acute abdomen, we should consider the possibility of this disease to make accurate diagnosis and give proper treatment.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 051093069

Download citation: RISBibTeXText

PMID: 22688104


Related references

Accuracy of multidetector computed tomography in differentiating primary epiploic appendagitis from left acute colonic diverticulitis associated with secondary epiploic appendagitis. Emergency Radiology 17(1): 51-56, 2010

CT diagnosis of an acute epiploic appendagitis in a redundant sigmoid colon clinically suspected as acute appendicitis. Israel Medical Association Journal 5(11): 835-836, 2003

A case of epiploic appendagitis of the descending colon. Journal of the Japan Society of Coloproctology 55(5): 239-242, 2002

Primary epiploic appendagitis: an etiology of acute abdominal pain. Connecticut Medicine 64(11): 655-657, 2000

Epiploic appendagitis: an uncommon cause of abdominal pain in primary care. Semergen 40(8): 478, 2016

Frequency and epidemiology of primary epiploic appendagitis on CT in adults with abdominal pain. Journal de Radiologie 89(2): 235-243, 2008

Primary Epiploic Appendagitis As a Rare Cause of Localized Abdominal Pain: Imaging Findings. Journal of Academic Emergency Medicine Case Reports 3(2): 64-65, 2012

Epiploic appendagitis: An unusual case of acute abdominal pain. Anales de Medicina Interna 23(10): 507-508, 2006

A rare and unrecognized cause of abdominal pain: epiploic appendagitis: about a case. Pan African Medical Journal 31: 87, 2018

Case 6: primary epiploic appendagitis. Radiology 210(1): 145-148, 1999

Differential diagnosis of left-sided abdominal pain: primary epiploic appendagitis vs colonic diverticulitis. World Journal of Gastroenterology 19(40): 6842-6848, 2013

Primary epiploic appendagitis: a case report. Ulusal Travma Ve Acil Cerrahi Dergisi 16(6): 558-560, 2010

Primary epiploic appendagitis: 3 case reports. Jpma. Journal of the Pakistan Medical Association 61(1): 83-85, 2011

Primary epiploic appendagitis: 4 case reports. Canadian Association of Radiologists Journal 53(5): 269-271, 2002

Epiploic Appendagitis, an Uncommon Cause of Abdominal Pain: A Case Series and Review of the Literature. Puerto Rico Health Sciences Journal 34(4): 219-221, 2015