Three Cases of Primary Epiploic Appendagitis

Yoon, Hee Jung; Chi, Sang Won; Chung, Jun Pyo; Park, Hyo Jin; Kim, Jun Uh; Song, Kee Sup; Lee, Kwan Sik; Lee, Sang In; Park, Mi Suk; Yoon, Sang Wook; Yu, Jeong Sik; Kim, Ki Whang; Choi, Seung Ho

Abstract

Primary epiploic appendagitis, an acutely torsed and ischemic colonic epiploic appendages, is a benign condition that may present with peritoneal findings. Until recently, the accurate diagnosis could not be made preoperatively. However, since the advent of more refined imaging modalities, primary epiploic appendagitis may be distinguished preoperatively. This entity is a self limiting disease and thus, the awareness of this entity may help avoid an unnecessary laparotomy. Herein we present 3 cases of primary epiploic appendagitis. The first case of 40-year-old man has not been correctly diagnosed for 6 years even after a laparoscopic examination. The other 2 cases of 29-year-old and 40-year-old men, were diagnosed by CT examinations and managed conservatively.