Epiploic appendagitis: A case report and review of diagnostic challenges

Abstract

Epiploic appendagitis is a rare, self-limiting inflammatory condition affecting the epiploic appendages, which often mimics other acute abdominal conditions such as appendicitis or diverticulitis, creating a diagnostic challenge for healthcare providers. In this case, a 37-year-old male presented with sharp, non-radiating right lower quadrant abdominal pain lasting two days, accompanied by nausea. Upon physical examination, localized tenderness was noted without signs of rebound or guarding. A contrast-enhanced CT scan revealed a 2.5 cm ovoid lesion with fatty stranding on the cecum wall, along with adjacent reactive lymph nodes, confirming the diagnosis of epiploic appendagitis. Given its rarity, this condition should be included in the differential diagnosis for acute abdominal pain, as accurate diagnosis through appropriate imaging can prevent unnecessary surgical interventions and ensure effective management.