Pediatr Emerg Med J.  2022 Jun;9(1):57-60. 10.22470/pemj.2022.00493.

An adolescent boy with epiploic appendagitis presenting with pain in the left lower quadrant lasting for more than 10 days

• Kim J
• Lee KS
• Na JY
• Oh JW
• Kim YJ
• Choi YJ

• KMID: 2531532
• DOI: http://doi.org/10.22470/pemj.2022.00493

Abstract

We report a case of a 14-year-old Korean boy presenting with pain in the left lower quadrant, persisting for over 10 days. Except for the persistent pain, no other symptoms, such as vomiting and diarrhea, were observed. In addition, laboratory findings were normal. He was eventually diagnosed with epiploic appendagitis, a rare disease in children. This case highlights the need for imaging study for early diagnosis of epiploic appendagitis or surgical emergencies in children who visit emergency departments with pain in the left lower quadrant without specific clinical findings.

Keyword

Abdominal Pain; Anti-Inflammatory Agents, Non-Steroidal; Inflammation; Multidetector Computed Tomography; Obesity; Panniculitis, Peritoneal; Pediatrics

Figure

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  Fig. 1. Initial plain radiograph showing the impacted feces.

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  Fig. 2. Axial (A) and coronal (B) scans of computed tomography (day 2). The fat lobule seems a 1.8 cm-sized, fat-density ovoid structure with hyper-attenuating rim sign (arrowheads in insets) and surrounding fat stranding in front of the sigmoid colon.

Reference

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