User:Mr. Ibrahem/Epiploic appendagitis

Epiploic appendagitis
Other names	Appendicitis epiploica, appendagitis
Epiploic appendagitis seen on CT scan.
Specialty	General surgery
Symptoms	Pain and tenderness in the abdomen
Duration	Few days to weeks
Risk factors	Obesity, exercise
Diagnostic method	CT scan, ultrasound
Differential diagnosis	Appendicitis, diverticulitis, cholecystitis
Treatment	Conservative management, NSAIDs
Prognosis	Good
Frequency	Rare

Epiploic appendagitis (EA) is an inflammatory process of the epiploic appendices. Symptoms generally include an area of pain and tenderness in the abdomen. While the pain most commonly occurs on the persons left, any region of the abdomen may be involved. There is sometimes also nausea or vomiting.

Risk factors include obesity, weight loss, and significant exercise. The underlying mechanism typically occurs due to twisting or venous thrombosis. Diagnosis is by CT scan or ultrasound. Lab tests are generally normal. It may present similar to appendicitis, diverticulitis, or cholecystitis.

The condition is generally self-limiting. Pain may be managed with NSAIDs. Rarely antibiotics or surgery may be used. The condition is none serious and generally improves after a few days to weeks.

Epiploic appendagitis is believed to be rare, with its exact frequency being unknown. Those affected are generally adults, with the most common onset around 40 years old. Males are four times more commonly affected than females. The condition was first described in 1956 by Dockerty.