Description
Epiploic appendages are small protrusions from the large intestine. They are usually filled with fat and do not cause any symptoms. Occasionally these 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
Common tests used for diagnosis and treatment
Workup:
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.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Magnetic resonance imaging (MRI)
Specialists:
General Surgery, Internal Medicine, Family Practice
Workup:
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.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Magnetic resonance imaging (MRI)
Specialists:
General Surgery, Internal Medicine, Family Practice
Treatment
No treatment is necessary since the disorder resolves on its own. Pain medications may be used for the discomfort.