AB104. SOH25_AB_302. Epiploic appendagitis: a case series
General Surgery III

AB104. SOH25_AB_302. Epiploic appendagitis: a case series

Ahmed Aydrose, Abdelhamed Haram, Nicola Cullen, Iffah Jafaar, Róisín Coyne, Shane O’Gorman, Tara Connelly, Efthymios Koutroumanos

Department of Surgery, University Hospital Limerick, Limerick, Ireland

Background: Epiploic appendagitis (EA) is a rare and self-limiting cause of acute abdominal pain, often mistaken for conditions such as appendicitis or diverticulitis due to its overlapping clinical presentation. This case series highlights two distinct instances of EA encountered at a single institution, emphasizing its diagnostic and therapeutic nuances.

Methods: The first case involved secondary EA in a 54-year-old male with acute appendicitis, necessitating surgical intervention. The second case described primary EA in a 73-year-old male, successfully managed conservatively with non-steroidal anti-inflammatory drugs.

Results: Both cases underscore the role of computed tomography as a gold-standard imaging modality for diagnosing EA, characterized by hallmark findings such as inflamed fat-density structures and the hyperattenuating ring sign.

Conclusions: By delineating primary and secondary EA, the report aims to increase awareness among clinicians to distinguish this condition from other acute abdominal pathologies. Early recognition of EA and its benign course can prevent unnecessary surgical interventions, optimising patient outcomes and reducing healthcare costs.

Keywords: Epiploic appendagitis (EA); appendices epiploicae; epiploic appendages; epiploic inflammation; acute abdomen

Acknowledgments

None.

Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-25-ab104
Cite this abstract as: Aydrose A, Haram A, Cullen N, Jafaar I, Coyne R, O’Gorman S, Connelly T, Koutroumanos E. AB104. SOH25_AB_302. Epiploic appendagitis: a case series. Mesentery Peritoneum 2025;9:AB104.

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