Epiploic appendagitis: A case reports and a Sistematic Review

Abstract

Epiploic appendagitis is a rare entity of abdominal pain, often being confused with common acute abdominal pathologies, such as appendicitis and diverticulitis. Its pathophysiology is based on a torsion process of the vascular pedicle of the epiploic appendix. The correct diagnosis is essential, in order to avoid unnecessary therapeutic interventions, with computerized axial tomography being the diagnostic method of choice. In most cases, therapy is symptomatic, with spontaneous remission occurring within a few days using medication to control symptoms and sometimes antibiotics. The authors present the report of a clinical case of a 37-year-old female patient who came to the consultation for abdominal pain in the lower quadrants, with epiploic appendagitis being published. Conservative management has been demonstrated. Anatomy, pathophysiology, clinical presentation, radiological evaluation, and emergency management of epiploic appendagitis are reviewed in this article.