Epiploic appendagitis

Revision as of 18:21, 8 July 2021 by Rossdonaldson1 (talk | contribs) (→‎Background)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)


Anterior view of iliac colon, sigmoid colon, and rectum. Lumps of epiploic appendage fat visible on colon.
  • Benign and self-limited condition of the epiploic appendages (fat-filled sacs along surface of colon and rectum)[1]
  • Acutely inflamed due to torsion or venous thrombosis
  • Mimics Appendicitis or Diverticulitis
  • Most often found on abdominal CT during abdominal pain workup
  • More than half occur in rectosigmoid colon

Clinical Features

Differential Diagnosis

RLQ Pain


Abdominal CT scan showing epiploic appendagitis (circle).
  • CT abdomen with IV contrast


  • High dose ibuprofen
  • Consider opioids
  • Surgical intervention not routinely recommended


  • Outpatient follow-up.
  • Although recurrence is common the disease is self limiting and not life threatening.


  • Complete resolution normally within 3-14 days


  1. Schnedl WJ, et al. Insights into epiploic appendagitis. Nat Rev Gastroenterol Hepatol. 2011; 8:45-59.