Epiploic Appendagitis
Description
Epiploic appendages are small protrusions from the large intestine. They are usually filled with fat and do not cause any symptoms. Occasionally theses appendages lose their blood supply because of a twisting (torsion) or a blood clot (thrombus). The appendage becomes swollen and this disorder is called epiploic appendagitis. The swelling causes the symptoms experienced. No treatment is needed since the disorder resolves on its own. Occasionally this disorder can be mistaken for appendicitis or diverticulitis.
Symptoms
Sharp lower abdominal pain. The pain is more common on the left than the right. Usually there are no other symptoms experienced.
Tests
A history and physical exam will be done. A CT scan or MRI is typically needed to confirm the diagnosis. Blood tests are generally performed as well to rule out other causes of the abdominal pain.
- CBC
- Chem 12
- CT Scan
- MRI
Treatment
No treatment is necessary since the disorder resolves on its own. Pain medications may be used for the discomfort.
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