Epiploic Appendagitis: An Infrequent Offender in Abdominal Pain
Epiploic appendages are fat-filled outpouchings arising from the serosal surface of the colon and have uncertain physiological functions. Epiploic appendagitis is characterized by inflammation of these appendages. Primary appendagitis often results from ischemic injury, while secondary appendagitis...
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| Format: | Article |
| Language: | English |
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Interna Publishing
2024-12-01
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| Series: | The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy |
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| Online Access: | https://ina-jghe.com/index.php/jghe/article/view/1011 |
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| author | George Sarin Zacharia Anu Jacob Mathew Vadukoot Muhammed Ali |
| author_facet | George Sarin Zacharia Anu Jacob Mathew Vadukoot Muhammed Ali |
| author_sort | George Sarin Zacharia |
| collection | DOAJ |
| description | Epiploic appendages are fat-filled outpouchings arising from the serosal surface of the colon and have uncertain physiological functions. Epiploic appendagitis is characterized by inflammation of these appendages. Primary appendagitis often results from ischemic injury, while secondary appendagitis may arise from the contiguous spread of inflammation or infection from adjacent structures. Clinical features of epiploic appendagitis include acute or subacute abdominal pain, most commonly in the lower quadrants, without significant concurrent constitutional or other gastrointestinal symptoms. Diagnosis relies on imaging modalities, with Computed Tomography (CT) being the preferred method. Management of epiploic appendagitis is mainly conservative, with analgesic and anti-inflammatory agents being the mainstay of treatment. Surgical indications are poorly defined, but laparoscopic excision of the inflamed appendage may be considered in cases of recurrent or refractory symptoms. This review article explores the anatomy, pathophysiology, clinical features, diagnosis, and management of epiploic appendages and appendagitis. |
| format | Article |
| id | doaj-art-4cb558b2d2b746d3b233b15dea7c1fec |
| institution | OA Journals |
| issn | 1411-4801 2302-8181 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy |
| spelling | doaj-art-4cb558b2d2b746d3b233b15dea7c1fec2025-08-20T02:25:59ZengInterna PublishingThe Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy1411-48012302-81812024-12-0125324725010.24871/253202453-56901Epiploic Appendagitis: An Infrequent Offender in Abdominal PainGeorge Sarin Zacharia0Anu Jacob1Mathew Vadukoot2Muhammed Ali3Gastroenterology, Ahalia Hospital, Abu Dhabi Internal Medicine, Bronx Care Health System, New YorkAnesthesiology, Ahalia Hospital, Abu DhabiGastroenterology, Lifecare Hospital, Abu DhabiRadiodiagnosis, Lifecare Hospital, Abu DhabiEpiploic appendages are fat-filled outpouchings arising from the serosal surface of the colon and have uncertain physiological functions. Epiploic appendagitis is characterized by inflammation of these appendages. Primary appendagitis often results from ischemic injury, while secondary appendagitis may arise from the contiguous spread of inflammation or infection from adjacent structures. Clinical features of epiploic appendagitis include acute or subacute abdominal pain, most commonly in the lower quadrants, without significant concurrent constitutional or other gastrointestinal symptoms. Diagnosis relies on imaging modalities, with Computed Tomography (CT) being the preferred method. Management of epiploic appendagitis is mainly conservative, with analgesic and anti-inflammatory agents being the mainstay of treatment. Surgical indications are poorly defined, but laparoscopic excision of the inflamed appendage may be considered in cases of recurrent or refractory symptoms. This review article explores the anatomy, pathophysiology, clinical features, diagnosis, and management of epiploic appendages and appendagitis.https://ina-jghe.com/index.php/jghe/article/view/1011acute abdomen, appendagitis, epiploic appendages |
| spellingShingle | George Sarin Zacharia Anu Jacob Mathew Vadukoot Muhammed Ali Epiploic Appendagitis: An Infrequent Offender in Abdominal Pain The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy acute abdomen, appendagitis, epiploic appendages |
| title | Epiploic Appendagitis: An Infrequent Offender in Abdominal Pain |
| title_full | Epiploic Appendagitis: An Infrequent Offender in Abdominal Pain |
| title_fullStr | Epiploic Appendagitis: An Infrequent Offender in Abdominal Pain |
| title_full_unstemmed | Epiploic Appendagitis: An Infrequent Offender in Abdominal Pain |
| title_short | Epiploic Appendagitis: An Infrequent Offender in Abdominal Pain |
| title_sort | epiploic appendagitis an infrequent offender in abdominal pain |
| topic | acute abdomen, appendagitis, epiploic appendages |
| url | https://ina-jghe.com/index.php/jghe/article/view/1011 |
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