Korean J Gastroenterol.  2023 Mar;81(3):125-128. 10.4166/kjg.2022.124.

A Case of Epiploic Appendagitis after COVID-19

• Lee HJ
• Kim J
• Suh SO

• KMID: 2540955
• DOI: http://doi.org/10.4166/kjg.2022.124

Abstract

Acute epiploic appendagitis is an uncommon cause of abdominal pain resulting from appendageal ischemia caused by torsion or thrombosis of the draining vein. It is frequently misdiagnosed as acute appendicitis or diverticulitis. The coronavirus disease 2019 (COVID-19) pandemic has changed how this rare disease is diagnosed. There was a report of a young men diagnosed with COVID-19 and epiploic appendagitis as a rare cause of abdominal pain. In addition, a 50-year-old men was diagnosed with epiploic appendagitis during the treatment of COVID-19. This paper reports the case of a 53-year-old men who presented with right lower quadrant abdominal pain after COVID-19 and was diagnosed with acute epiploic appendagitis by computed tomography image findings. The thrombotic condition of COVID-19 may contribute to acute appendagitis, but more studies are needed to confirm this hypothesis.

Keyword

Abdominal pain; Epiploic appendagitis; COVID-19; SARS-CoV2; Thrombosis

Figure

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  Fig. 1 Contrast-enhanced abdomen CT abdomen and pelvis. There is a snowman-like fat attenuation structure with a surrounding rim and haziness along the proximal ascending colon mesentery (arrows). These findings are consistent with epiploic appendagitis in the transaxial plane (A) and coronal plane (B).

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