Inflammation of epiploic
appendices, primary epiploic
appendagitis (PEA), is a rare cause of acute abdomen.
EA is a rare and self-limited condition, mostly seen in middle-aged men, which is caused by either inflammation or ischemic changes related to torsion or venous infarction of the epiploic
appendages are small fat-filled, serosa-covered pedunculated structures on the external surface of the colon measuring 1 to 2 cm thick and 0.
Given the benign and self-limiting nature of epiploic
appendagitis, the patient was managed conservatively with oral anti-inflammatory medications (600 mg ibuprofen PO every 8 hours for 4-6 days) and released from the clinic with return precautions.
For pancreato-doudenal procedures (Pancreatodoudenectomy, Whipples operation), mobilization of the duodenum was carried out by incising peritoneum lateral to duodenum from the epiploic
Preoperative diagnosis is a challenge and mistaken with appendicitis, cholecystitis, diverticulitis, pancreatitis, epiploic
appendagitis, incarcerated hernia, duodenal ulcer, ovarian torsion and ectopic pregnancy.
Various alternate diagnoses can be suggested by CT scanning; these include: mesenteric adenitis, epiploic
appendagitis, diverticulitis, Crohn's disease and caecal carcinoma.
A diagnosis of primary epiploic
appendagitis (EA) was made on the CT findings.
Entrapment of large colon through the epiploic
foramen in a horse.
Lymphatic channels from the GB drains to nodes in the porta hepatis to the cystic node (node of Lund) to a node situated at the anterior boundary of the epiploic
appendagitis has a predominance for the cecum and sigmoid colon.
Strangulated small bowel obstruction related to chronic torsion of an epiploic
appendix: CT findings.