Epiploic Appendagitis in a Renal Transplant: A Case Report

Bardai, Ghita El; Jnyah, Nada; Chouhani, Basmat A; Kabbali, N.; Sqalli, T.

doi:10.7759/cureus.29550

Cited by 1 publication

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“…EA is an epiploic appendage infarction that is caused mainly by torsion or venous thrombosis. Additionally, it may develop secondary to intraperitoneal infections such as appendicitis [ 9 ]. EA is a rare disease that occurs predominantly in males [ 10 ], with a frequency of 1.3% and an incidence of 8.8 cases per million annually [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

A rare case of epiploic appendages infarction within an incisional hernia: a usual complain of unusual cause

Lahham,

Alsalah,

Alsahouri

et al. 2023

Journal of Surgical Case Reports

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Epiploic appendagitis (EA) is an uncommon condition caused by infarction of epiploic appendages “small fat outpouchings present on the outside of the colon wall” because of torsion or thrombosis of the main draining vein. It is sometimes misdiagnosed as diverticulitis or appendicitis. Lab tests usually are normal, and the diagnosis is mainly by computerized tomography (CT) scan. Treatment is conservative as it is a self-limited condition, and the symptoms will resolve spontaneously within 2 weeks. However, surgical appendage removal could be necessary if symptoms increase or continue. Here, we report our experience with a 21-year-old male patient, who presented with a 1-day duration of localized right lower quadrant (RLQ) abdominal pain within 18*10 cm incisional hernia, imaging revealed signs of epiploic appendages infarction within the huge incisional hernia. This case describes an atypical scenario for EA, which was successfully managed with surgery. The final pathology report confirms the diagnosis.

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Section: Discussionmentioning

confidence: 99%