Epiploic appendagitis

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Epiploic appendagitis
Epiploic appendagitis
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Abdominal pain, nausea, vomiting
Complications	N/A
Onset	Sudden
Duration	Self-limiting, usually resolves in 1-2 weeks
Types	N/A
Causes	Torsion or venous thrombosis of an epiploic appendage
Risks	Obesity, hernia, strenuous exercise
Diagnosis	CT scan, ultrasound
Differential diagnosis	Appendicitis, diverticulitis, cholecystitis
Prevention	N/A
Treatment	Pain management, anti-inflammatory medication
Medication	N/A
Prognosis	Excellent, self-limiting condition
Frequency	Rare
Deaths	N/A

Epiploic appendagitis is a rare medical condition characterized by the inflammation of small pouches of fat called epiploic appendages. These appendages are found on the outer surface of the large intestine, also known as the colon. While the exact cause of epiploic appendagitis is not fully understood, it is believed to be related to the twisting or torsion of these appendages, leading to their inflammation and subsequent symptoms.

Symptoms

The symptoms of epiploic appendagitis can vary from person to person, but common signs include sudden and severe abdominal pain, typically localized to a specific area. The pain is often described as sharp or stabbing and may worsen with movement or deep breathing. Other symptoms may include nausea, vomiting, and a low-grade fever. It is important to note that these symptoms can mimic other conditions such as appendicitis or diverticulitis, making an accurate diagnosis crucial.

Diagnosis

To diagnose epiploic appendagitis, a healthcare professional will typically perform a physical examination and review the patient's medical history. Imaging tests, such as a computed tomography (CT) scan or ultrasound, may also be ordered to visualize the affected area and rule out other potential causes of the symptoms. These imaging tests can help identify the characteristic findings of epiploic appendagitis, such as inflamed appendages with a characteristic "fat ring" appearance.

Treatment

The treatment of epiploic appendagitis usually involves managing the symptoms and providing supportive care. This may include the use of pain medications to alleviate discomfort and anti-inflammatory drugs to reduce inflammation. In some cases, antibiotics may be prescribed if there is concern for infection. It is important to note that surgical intervention is rarely necessary for epiploic appendagitis, as the condition tends to resolve on its own within a few days to weeks.

Complications

While epiploic appendagitis is generally a self-limiting condition, complications can occur in rare cases. These may include abscess formation within the inflamed appendages or the development of peritonitis, which is the inflammation of the lining of the abdominal cavity. Prompt medical attention should be sought if symptoms worsen or if new symptoms develop.

Prevention

As the exact cause of epiploic appendagitis is not well understood, there are no specific preventive measures that can be taken. However, maintaining a healthy lifestyle, including regular exercise and a balanced diet, may help reduce the risk of developing certain gastrointestinal conditions that could potentially lead to epiploic appendagitis.

Epiploic_appendagitis images

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  Epiploic appendagitis

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  Gross pathology of a peritoneal loose body

See also

• Appendicitis
• Diverticulitis
• Peritonitis